The impact of the COVID-19 pandemic and its related restrictions on people with pre-existent mental health conditions: A scoping review

Context: Globally, governments have introduced a variety of public health measures including restrictions and reducing face-to-face contact, to control the spread of COVID-19. This has implications for mental health services in terms of support and treatment for vulnerable groups such as people with pre-existent mental health conditions. However, there is limited evidence of the impact of COVID-19 and its related restrictions on people with pre-existent mental health conditions. Objectives: To identify the impact of COVID-19 and its related restrictions on people with pre-existent mental health conditions. Methods: A scoping review of the literature was employed. Eight electronic databases (PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL, Scopus, Academic Search Complete) were searched and 2566 papers identified. 30 papers met the criteria for this review and findings were summarised under three key review questions. Results: COVID-19 and its related restrictions have had a notable effect on people with pre-existent mental health conditions. Public health restrictions have contributed to increased levels of social isolation, loneliness, and reduced opportunities for people to connect with others. Reduced access to health services and treatments has compounded matters for those seeking support. Exacerbation and deterioration of symptoms are commonly reported and can lead to greater susceptibility to COVID-19 infection. Accessible summary: COVID-19 is a serious public health threat to people across the globe. COVID-19 related factors have negatively impacted on the health outcomes of people with preexistent mental health conditions. The rapidly changing environment, risk of infection, increasing isolation and reduced access to support services has led to an increase in psychological distress. People with pre-existent mental health conditions are vulnerable and at greater risk of relapse and deterioration in their condition.

Automated summary

Governments around the world have implemented public health measures to control the spread of COVID-19, impacting the mental health services for vulnerable groups. Individuals with pre-existing mental health conditions have experienced increased social isolation, loneliness, and limited access to support services, leading to exacerbation of symptoms and higher susceptibility to COVID-19 infection.