The spread of COVID-19 and the implementation of various containment strategies across the world have seriously disrupted people's everyday life, and it is especially uncertain what the psychological impact of this pandemic will be for vulnerable individuals, such as psychiatric (ex-)patients. Governments fear that this virus outbreak may prelude a major mental health crisis, and psychiatrists launch critical calls to flatten an upcoming mental ill-health surge. Here, we aim to add nuance to the idea that we are heading towards a mental health pandemic and that psychiatric populations will unavoidably (re)develop psychopathology. Despite being subjected to the same challenges posed by COVID-19, we argue that people with a history of psychiatric illness will psychologically deal with this adversity in different ways. To showcase the short-term differential impact of COVID-19 on patients' mental health, we present the day-to-day emotion and symptom trajectories of different psychiatric patients that took part in an experience sampling study before, during, and after the start of the first wave of the COVID-19 pandemic in March 2020 and associated lockdown measures in Belgium. Piecewise regression models show that not all patients' psychological well-being is affected to a similar degree. As such, we argue that emphasizing human resilience, also among the more vulnerable in society, may be opportune in these unsettling times.

中文翻译：

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COVID-19 大流行对精神病患者的短期心理影响：比利时不同情绪和症状轨迹的证据。


COVID-19在世界范围内的传播和各种遏制策略的实施严重扰乱了人们的日常生活，尤其不确定这种流行病对精神科（前）患者等弱势群体的心理影响。各国政府担心，这种病毒的爆发可能预示着一场重大的心理健康危机，精神病学家发出严厉呼吁，要求平息即将到来的心理疾病激增。在这里，我们的目标是对我们正在走向心理健康大流行以及精神病人群将不可避免地（重新）发展精神病理学的想法进行细微差别。尽管面临着 COVID-19 带来的同样挑战，但我们认为，有精神疾病史的人会在心理上以不同的方式应对这种逆境。为了展示 COVID-19 对患者心理健康的短期差异影响，我们展示了参加体验抽样研究的不同精神病患者在开始之前、期间和之后的日常情绪和症状轨迹2020 年 3 月第一波 COVID-19 大流行的情况以及比利时的相关封锁措施。分段回归模型显示，并非所有患者的心理健康都受到相似程度的影响。因此，我们认为，在这个令人不安的时期，强调人类的复原力，以及社会中较弱势群体的复原力，可能是合适的。