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Psychotic-like Experiences during COVID-19 Outbreak: A survey from Pakistan

Published online by Cambridge University Press:  01 September 2022

I. Ullah ,
F. Arain ,
A. Tohid ,
A. Ahmad ,
M. Jawad ,
A. Awan  and
A. Javaid
I. Ullah
Affiliation:
Kabir Medical College Gandhara University, Psychiatry, Peshawar, Pakistan
F. Arain*
Affiliation:
BronxCare Health System Icahn School of Medicine at Mount Sinai, Child & Adolescent Psychiatry, Bronx, United States of America
A. Tohid
Affiliation:
University of Southern California, Psychiatry, Los Angeles, United States of America
A. Ahmad
Affiliation:
Nishtar Medical University, Psychiatry, Multan, Pakistan
M. Jawad
Affiliation:
King Edward Medical University, Psychiatry, Lahore, Pakistan
A. Awan
Affiliation:
Services Institute of Medical Sciences, Psychiatry, Lahore, Pakistan
A. Javaid
Affiliation:
Allama Iqbal Medical College, Psychiatry, Lahore, Pakistan
*
*Corresponding author.

Abstract

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Introduction

Despite the fact that adolescents have been at higher risk of distress during the COVID-19 pandemic, the effect of pandemic on psychotic-like experiences (PLEs) is not well described.

Objectives

The study’s objective is to evaluate if PLEs are induced in young individuals aged 18-24 during the pandemic.

Methods

A total of 201 college students from Pakistan (ages 18-24) were recruited for a cross-sectional research. We investigated the incidence of PLEs in Pakistan during the pandemic, their links to socio-demographic factors, COVID-19-related characteristics, depression, anxiety, and sleep difficulties. Community Assessment of Psychic Experience’s positive symptom component (CAPE), Patient Health Questionnaire, Generalized Anxiety Disorder Scale, and IBM SPSS 25 were used.

Results

CAPE-Frequency and CAPE-stress were positively associated with PHQ total (p<0.0010); GAD total (p<0.001); time spent indoors due to COVID-19 (p<0.001). Psychiatric disorder other than bipolar disorder or psychosis (p<0.001 for CAPE-frequency and stress), family history of psychiatric disorders (p<0.001 for CAPE-frequency and stress), chronic medical disease (p=0.021 CAPE-frequency and p=0.026 CAPE-stress), illegal drug usage (p<0.001 for CAPE-frequency and stress) were associated with CAPE-Frequency and CAPE-stress. In linear stepwise regression analysis, the best model predicted CAPE-Frequency explained 77.4% of variance with the following variables: PHQ total (B=0.552, SE= 0.08, t=6.909, p<0.001), GAD total (p<0.001), duration at home (p<0.001), and psychiatric disorder in family (p<0.001).

Conclusions

PLEs have been linked with anxiety and depression during the pandemic. Individuals with a mental condition, family history of psychiatric disorder, chronic medical illness, illicit drug use, and increased time spent at home experienced more PLEs and stress.

Disclosure

No significant relationships.

Keywords

cOVID-19Psychosisadolescentspsychotic-like experiences
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S254
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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