Korean J Schizophr Res.  2023 Oct;26(2):61-69. 10.16946/kjsr.2023.26.2.61.

Perceptions of Coronavirus Disease 2019 (COVID-19) in Patients With Schizophrenia

Affiliations
  • 1Department of Psychiatry, Medical Foundation Yongin Mental Hospital, Yongin, Korea
  • 2Department of Psychiatry, Seoul Bukbu Hospital, Seoul, Korea

Abstract


Objectives
The aim of this study was to investigate whether patients with schizophrenia are aware of the current status and have accurate information about COVID-19.
Methods
The participants consisted of 161 inpatients and 117 outpatients with schizophrenia and 40 normal controls. The subjects completed self-report questionnaires measuring changes in their daily life, their perceptions of the current status of COVID-19 and their basic knowledge about the disease.
Results
Compared to the normal control group, the inpatients and outpatients with schizophrenia underestimated the cumulative number of confirmed COVID-19 cases and overestimated the mortality rate of COVID-19. The mortality rates of COVID-19 and the common cold were higher in the order of inpatients, outpatients, and normal controls. The main route of SARS-CoV-2 infection and the main symptoms of COVID-19 were accurately recognized by more than 95% in the normal group and more than 80% in outpatients, but inpatients chose the correct answers at a lower rate. In the questions about misperceptions about COVID-19, the correct answer rate was high in the order of normal controls, outpatients, and inpatients. Most patients with schizophrenia obtained information about COVID-19 on TV, while most normal controls collected information through the internet.
Conclusion
This study showed that awareness of COVID-19 among patients with schizophrenia is insufficient. Additional measures are needed to provide accurate information and the current status of COVID-19 to patients with schizophrenia.

Keyword

COVID-19; Perceptions; Schizophrenia

Figure

  • Fig. 1. Answers to changes in daily life due to COVID-19 (multiple responses). *p<0.05; ***p<0.001.

  • Fig. 2. Answers to the cumulative number of COVID-19 confirmed cases in Korea. Statistics were analyzed by chi-square test. p<0.001.

  • Fig. 3. Answers to mortality rate of COVID-19 in Korea. Statistics were analyzed by chi-square test. p<0.001.

  • Fig. 4. Answers to mortality from a common cold. Statistics were analyzed by chi-square test. p<0.05.

  • Fig. 5. Proportion of the main transmission route of COVID-19 selected by participants. Statistics were analyzed by chi-square test. p<0.001.

  • Fig. 6. Proportion of participants who replied “yes” to each item to identify the main symptoms of COVID-19 infection (multiple responses). Statistics were analyzed by chi-square test. *p<0.05; ***p<0.001.

  • Fig. 7. Proportion of participants who replied “yes” to each item to identify whether each of these 10 actions act as prevention measures against COVID-19 infection (multiple responses). Statistics were analyzed by chi-square test. *p<0.05; ***p<0.001.

  • Fig. 8. Proportion of participants who replied “yes” toeach item to identify misperceptions about COVID-19. Statistics were analyzed by chi-square test. *p<0.05; ***p<0.001.

  • Fig. 9. Proportion of participants who replied “yes” toeach item to identify ways to obtain information about COVID-19 (multiple responses). Statistics were analyzed by chi-square test. *p<0.05; ***p<0.001.


Reference

1. WHO. WHO Coronavirus Disease (COVID-19) Dashboard 2022 Sep 14; Available from: https://covid19.who.int/.
2. Jeon HL, Kwon JS, Park SH, Shin JY. Association of mental disorders with SARS-CoV-2 infection and severe health outcomes: nationwide cohort study. The British Journal of Psychiatry. 2021; 218:344–351.
Article
3. Wang Q, Xu R, Volkow ND. Increased risk of COVID-19 infection and mortality in people with mental disorders: analysis from electronic health records in the United States. World Psychiatry. 2021; 20:124–130.
Article
4. Yao H, Chen JH, Xu YF. Patients with mental health disorders in the COVID-19 epidemic. The Lancet Psychiatry. 2020; 7:e21.
Article
5. Larkin A, Hutton P. Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis. The British Journal of Psychiatry. 2017; 211:205–215.
Article
6. Maguire PA, Reay RE, Looi JC. Nothing to sneeze at–uptake of protective measures against an influenza pandemic by people with schizophrenia: willingness and perceived barriers. Australasian Psychiatry. 2019; 27:171–178.
Article
7. Van Haaster I, Lesage A, Cyr M, Toupin J. Problems and needs for care of patients suffering from severe mental illness. Social psychiatry and psychiatric epidemiology. 1994; 29:141–148.
Article
8. Fonseca L, Diniz E, Mendonca G, Malinowski F, Mari J, Gadelha A. Schizophrenia and COVID-19: risks and recommendations. Brazilian Journal of Psychiatry. 2020; 42:236–238.
Article
9. Kozloff N, Mulsant BH, Stergiopoulos V, Voineskos AN. The COVID-19 Global Pandemic: Implications for People With Schizophrenia and Related Disorders. Schizophr Bull. 2020; 46:752–757.
Article
10. Shinn AK, Viron M. Perspectives on the COVID-19 pandemic and individuals with serious mental illness. The Journal of Clinical Psychiatry. 2020; 81:14205.
Article
11. Bradford DW, Kim MM, Braxton LE, Marx CE, Butterfield M, Elbogen EB. Access to medical care among persons with psychotic and major affective disorders. Psychiatric Services. 2008; 59:847–852.
Article
12. Muruganandam P, Neelamegam S, Menon V, Alexander J, Chaturvedi SK. COVID-19 and severe mental illness: impact on patients and its relation with their awareness about COVID-19. Psychiatry research. 2020; 291:113265.
Article
13. Thomson S, Doan T, Liu D, Schubert KO, Toh J, Boyd MA, et al. Supporting the vulnerable: developing a strategic community mental health response to the COVID-19 pandemic. Australas Psychiatry. 2020; 1039856220944701.
Article
14. Geldsetzer P. Use of rapid online surveys to assess people’s perceptions during infectious disease outbreaks: a cross-sectional survey on COVID-19. J Med Internet Res. 2020; 22:e18790.
Article
15. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict. 2022; 20:1537–1545.
16. Coronavirus Infectious Disease-19 Outbreak in Korea. 2020 Sep 29; Available from: http://ncov.mohw.go.kr/tcmBoardView.do?brdId=&brdGubun=&dataGubun=&ncvContSeq=360121&contSeq=360121&board_id=140&gubun=BDJ.
17. Natale A, Concerto C, Rodolico A, Birgillito A, Bonelli M, Martinez M, et al. Risk perception among psychiatric patients during the COVID-19 pandemic. Int J Environ Res Public Health. 2022; 19:2620.
Article
18. Teixeira AL, Krause TM, Ghosh L, Shahani L, Machado-Vieira R, Lane SD, et al. Analysis of COVID-19 infection and mortality among patients with psychiatric disorders, 2020. JAMA Netw Open. 2021; 4:e2134969.
Article
19. Maguire PA, Looi JC. Vulnerability of people with schizophrenia to COVID-19. Aust N Z J Psychiatry. 2020; 54:1044.
Article
20. Maguire PA, Reay RE, Looi JCL. Nothing to sneeze at–uptake of protective measures against an influenza pandemic by people with schizophrenia: willingness and perceived barriers. Australasian Psychiatry. 2018; 27:171–178.
Article
21. Tzur Bitan D, Krieger I, Kridin K, Komantscher D, Scheinman Y, Weinstein O, et al. COVID-19 prevalence and mortality among schizophrenia patients: a large-scale retrospective cohort study. Schizophrenia Bulletin. 2021; 47:1211–1217.
Article
22. Fond G, Nemani K, Etchecopar-Etchart D, Loundou A, Goff DC, Lee SW, et al. Association between mental health disorders and mortality among patients with COVID-19 in 7 countries: a systematic review and meta-analysis. JAMA psychiatry. 2021; 78:1208–1217.
Article
23. De Hert M, Mazereel V, Detraux J, Van Assche K. Prioritizing COVID-19 vaccination for people with severe mental illness. World Psychiatry. 2021; 20:54.
Article
24. WHO. Coronavirus disease (COVID-19) advice for the public: Myth busters. 2020 Sep 29; Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters.
25. Romm T. Millions of tweets peddled conspiracy theories about coronavirus in other countries, an unpublished U.S. report says. 2020; Available from: https://www.washingtonpost.com/technology/2020/02/29/.
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