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Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia

Published online by Cambridge University Press:  13 August 2021

E. Kiesmann ,
J. Mallet ,
V. Charlot  and
C. Dubertret
E. Kiesmann*
Affiliation:
Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, France
J. Mallet
Affiliation:
Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, France
V. Charlot
Affiliation:
Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, France
C. Dubertret
Affiliation:
Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, France
*
*Corresponding author.

Abstract

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Introduction

During the Covid Outbreak, the deployment of psychiatric phone-based consultations (PbC) became a large necessity.

Objectives

The main objective of our study was to assess, 4 months after the end of the lockdown, the degree of satisfaction of the PbCs compared to that of usual face-to-face consultations (FC) in young adults presenting a first episode of psychosis (FEP) or entering schizophrenia (SCZ).

Methods

All patients beneficiated from PbCs conducted by hospital care staff during lockdown. A 15-items questionnaire evaluating satisfaction was carried out remotely (score ranging from 1 to 10). Primary outcome was satisfaction with consultation allowing the comparison of a group preferring FC (FC+) against a group in favor or equivalent of PbC (PbC +).

Results

30 patients were recruited (mean age 26.93 years old (4.9 SD), Male 56%. Diagnoses were SCZ 60% and FEP 40%. 20/30 participants belonged to (FC+) group. Total scores of satisfaction for the PbC differed between the (PbC+) group (mean 9 (1.69 SD)) and (FC+) group (mean 6.80, (1.32 SD)) p < 0.05. The (FC+) group tends to have PbC more frequently (40%) than the (PbC+) group (10%) and to find the phone interface more stressfull (40%) than the PbC+ group (10%). The (FC+) group tends to less wish (40%) PbC follow up in future than the (PbC+) group (90%).

Conclusions

This study shows that the PbCs were favorably evaluated by a third of the patients. The anxiety-inducing experience of the PbC in the (FC+) group could be explained by the severity of their pathology.

Keywords

Covid-19telepsychiatryfirst episode of psychosisschizophrenia
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S348
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), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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