Greater Emotional Distress Due to Social Distancing and Greater Symptom Severity during the COVID-19 Pandemic in Individuals with Bipolar Disorder: A Multicenter Study in Austria, Germany, and Denmark

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  • Elena M.D. Schönthaler
  • Nina Dalkner
  • Michaela Ratzenhofer
  • Eva Fleischmann
  • Frederike T. Fellendorf
  • Susanne A. Bengesser
  • Armin Birner
  • Alexander Maget
  • Melanie Lenger
  • Martina Platzer
  • Robert Queissner
  • Adelina Tmava-Berisha
  • Christina Berndt
  • Julia Martini
  • Michael Bauer
  • Jon Dyg Sperling
  • Vinberg, Maj
  • Eva Z. Reininghaus

Throughout the COVID-19 pandemic, mental health of individuals with bipolar disorders (BD) is potentially more vulnerable, especially regarding COVID-19-related regulations and associated symptomatic changes. A multicentric online study was conducted in Austria, Germany, and Denmark during the COVID-19 pandemic. Overall, data from 494 participants were collected (203 individuals with BD, 291 healthy controls (HC)). Participants filled out questionnaires surveying emotional distress due to social distancing, fear of COVID-19, and the Brief Symptom Inventory-18 to assess symptom severity at four points of measurement between 2020 and 2021. General linear mixed models were calculated to determine the difference between the groups in these pandemic specific factors. Individuals with BD reported higher distress due to social distancing than HC, inde-pendently of measurement times. Fear of COVID-19 did not differ between groups; however, it was elevated in times of higher infection and mortality due to COVID-19. Individuals with BD reported higher psychiatric symptom severity than HC; however, symptom severity decreased throughout the measured time in the pandemic. Overall, individuals with BD experienced more distress due to the COVID-19 situation than HC. A supportive mental health system is thus recommended to ensure enhanced care, especially in times of strict COVID-19-related regulations.

Original languageEnglish
Article number7626
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number13
Number of pages16
ISSN1661-7827
DOIs
Publication statusPublished - 2022

Bibliographical note

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

    Research areas

  • anxiety, bipolar disorder, COVID-19, pandemic, social distancing, symptom load

ID: 326032958