Investigation of attitudes towards the COVID 19 outbreak and vaccine in individuals with mental health diseases
Öz
Aim: Investigation of attitudes towards the COVID 19 vaccine and factors affecting vaccine decision
making in patients with psychiatric diagnoses.
Summary: Investigation of attitudes towards the COVID 19 vaccine and factors affecting vaccine decision making in patients with psychiatric diagnoses. Vaccination is a crucial strategy for preventing and controlling infection during the pandemic.
Material and Methods: A form for collecting sociodemographic data, as well as perception scales for COVID 19 disease, its causes, control, and overall perception, were administered to 200 patients who met the inclusion and exclusion criteria at the psychiatric outpatient clinic. Additionally, the scales for attitudes towards disease avoidance and the COVID 19 vaccine were also administered.
Results: It was determined that 77% (n=154) of the patients followed the developments regarding COVID 19, 40% (n=80) had COVID 19, 53.5% (n=107) had someone in their family who had COVID
19, and 22.5% (n=45) had a relative who lost their life due to COVID 19. 93.5% (n=187) of the patients stated that they were protected from the disease, 78.5% (n=157) stated that the disease should be feared, and 18.5% (n=37) stated that the people around them followed the rules. It was determined that 88% (n=176) of the patients had at least one dose of COVID 19 vaccine. The vaccination rate was higher in those who followed the developments regarding COVID 19 and those who were afraid of COVID 19 (p=0.008, p=0.042). When the relationship between vaccination status and sociodemographic characteristics was examined, it was found that there was no difference according to age, gender, marital status, education level and employment status (p>0.05). It was found that vaccination status differed according to psychiatric diagnoses (p=0.04). It was found that the rate of not being vaccinated was higher in patients diagnosed with bipolar disorder and psychotic disorder.
Conclusion: Our study contributes to a better understanding of the attitudes of individuals with psychiatric illnesses towards the COVID 19 pandemic and the vaccine. It was found that the rate of non vaccination was higher in patients diagnosed with bipolar disorder and psychotic disorder, and it was also observed that the vaccination rate was higher in individuals who followed developments regarding COVID 19 and were afraid of the disease. These findings may help develop more effective support and intervention strategies for individuals with psychiatric illnesses.
Anahtar Kelimeler
Kaynakça
- Tzur Bitan D, Kridin K, Cohen AD, Weinstein O. COVID-19 hospitalisation, mortality, vaccination, and postvaccination trends among people with schizophrenia in Israel: a longitudinal cohort study. The Lancet Psychiatry. 2021;8(10):901-8.
- Danenberg R, Shemesh S, Tzur Bitan D, et al. Attitudes of patients with severe mental illness towards COVID-19 vaccinations: a preliminary report from a public psychiatric hospital. Journal of Psychiatric Research. 2021;143:16-20.
- De Hert M, Mazereel V, Stroobants M, De Picker L, Van Assche K, Detraux J. COVID-19 related mortality risk in people with severe mental illness: a systematic and critical review. Front Psychiatry. 2021;12:798554.
- Başar K. Vaccination and mental illness: the role of mental health professionals. Turkish Journal of Psychiatry. 2021;32(4):5-6.
- Nazlı Ş B, Yığman F, Sevindik M, Deniz Özturan D. Psychological factors affecting COVID-19 vaccine hesitancy. Irish Journal of Medical Science. 2022;191(1):71-80.
- Hao F, Wang B, Tan W, et al. Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China. BJPsych Open. 2021;7(5):e146. Bai W, Cai H, Jin Y, et al. COVID-19 vaccine hesitancy in community-dwelling and hospitalized patients with severe mental illness. Psychol Med. 2023;53(9):4288-90.
- Pandolfo G, Genovese G, Iannuzzo F, Bruno A, Pioggia G, Gangemi S. COVID-19 vaccination and mental disorders, what has been accomplished and future direction. Brain Sciences. 2022;12(2):292.
- Ren X, Shen F, Gui Y, Wang W, Xing B, Huang W. The attitudes of psychiatric patients towards COVID-19 vaccination in China: a cross-sectional study. BMC Psychiatry. 2021;21(1):475.
- Geniş B, Gürhan N, Koç M, et al. Development of perception and attitude scales related with COVID-19 pandemia. Pearson Journal of Social Sciences-Humanities. 2020;5(7):306-28.
- Goldberger N, Bergman-Levy T, Haklai Z, et al. COVID-19 and severe mental illness in Israel: testing, infection, hospitalization, mortality and vaccination rates in a countrywide study. Molecular Psychiatry. 2022;27(7):3107-14.
- Kılıç OHT, Akdeniz G, Göksu MG, Manoğlu BG. COVID-19 vaccination rates in patients with severe mental. Izmir Democracy University Health Sciences Journal. 2023;6(3):435-44.
- Republic of Türkiye ministry of health COVID-19 vaccine information platform. https://covid19asi.saglik.gov.tr/ Accessed April 12, 2024.
- Huang H, Zhu XM, Liang PW, et al. COVID-19 vaccine uptake, acceptance, and hesitancy among persons with mental disorders during the second stage of China's nationwide vaccine rollout. Frontiers ın Medicine. 2021;8:761601.
- Curtis HJ, Inglesby P, Morton CE, et al. Trends and clinical characteristics of COVID-19 vaccine recipients: a federated analysis of 57.9 million patients’ primary care records in situ using OpenSAFELY. The British Journal of General Practice: The Journal Of The Royal College of General Practitioners. 2022;72(714):51-62.
- Gundogmus AG, Ercan Dogu S, Zengin Ispir G. Comparison of attitudes toward the coronavirus disease vaccine, fear of coronavirus disease, and perception regarding causes of coronavirus disease between patients with serious mental illness and healthy controls. Journal of Public Health. 2023.
- Payberah E, Payberah D, Sarangi A, Gude J. COVID-19 vaccine hesitancy in patients with mental illness: strategies to overcome barriers-a review. The Journal of the Egyptian Public Health Association. 2022;97:5.
- Raffard S, Bayard S, Eisenblaetter M, et al. Diminished capacity to make treatment decision for COVID-19 vaccination in schizophrenia. European Archives of Psychiatry and Clinical Neuroscience. 2023;273(2):511-5.
- Grove LR, Emerson KR, Merola LS, Andries S, Cohen DA. Attitudes toward COVID-19 vaccination among behavioral health service clients. Psychiatric Services. 2023;74(12):1281-4.
- Liu I, Cruz A, Gamcsik S, Harris SC. Reducing barriers to COVID-19 vaccine uptake through a culturally sensitive pharmacy-led patient medication education group in a behavioral health population. Journal of the American Pharmacists Association: JAPhA. 2023;63(3):915-9.
- Abu Hammour K, Abu Farha R, Manaseer Q, Al-Manaseer B. Factors affecting the public's knowledge about COVID-19 vaccines and the influence of knowledge on their decision to get vaccinated. Journal of the American Pharmacists Association: JAPhA. 2022;62(1):309-16.
- Lee H, Park JH, Kim S, et al. Effect of information provision on parental intention toward COVID-19 vaccination for children: a nationwide survey experiment. Scientific Reports. 2024;14(1):5354.
- Kalra S, Kalra D, Grafova I, et al. Association of death or illness from COVID-19 among family and friends on vaccine uptake within four months of the emergency use authorization. findings from a national survey in the United States. Vaccine. 2023;41(12):1911-5.
- Skidmore M. The role of social circle COVID-19 illness and vaccination experiences in COVID-19 vaccination decisions: an online survey of the United States population. BMC Infectious Diseases. 2023;23(1):51.
- Gilan D, Birkenbach M, Wossidlo M, et al. Fear of COVID-19 disease and vaccination as predictors of vaccination status. Scientific Reports. 2023;13(1):8865.
- Erdem D, Karaman I. Impact of corona-phobia on attitudes and acceptance towards COVID-19 vaccine among cancer patients: a single-center study. Future Oncology (London, England). 2022;18(4):457-69.
- Lim C, Van Alphen MU, Maclaurin S, et al. Increasing COVID-19 vaccination rates among patients with serious mental illness: a pilot intervention study. Psychiatric Services. 2022;73(11):1274-7.
- Okubo T, Inoue A, Sekijima K. Who got vaccinated for COVID-19? evidence from Japan. Vaccines. 2021;9(12):1505.
- Kilic M, Ustundag Ocal N, Uslukilic G. The relationship of COVID-19 vaccine attitude with life satisfaction, religious attitude and COVID-19 avoidance in Turkey. Human Vaccines & Immunotherapeutics. 2021;17(10):3384-93.
- Eriş H, Karasu F, Ayar D. Perceptions of vaccine trust and conspiracy among those with COVID-19 vaccine hesitancy and resistance: a cross-sectional study. Global Health Promotion. 2023;30(4):6-15.
- Akbulut S, Boz G, Ozer A, Sahin TT, Colak C. Evaluation of the Turkish population's perspective on COVID- 19 vaccine hesitancy and routine childhood vaccine applications: national survey study. Vaccines. 2023;11(4):779.
- Durmaz N, Suman M, Ersoy M, Örün E. Parents' attitudes toward childhood vaccines and COVID-19 vaccines in a Turkish pediatric outpatient population. Vaccines. 2022;10(11):1958.
- Özdinç A, Değer MS, Atak M, Demir İ. Talking about the vaccine after the pandemic: a cross-sectional study among youth in Turkey and ethical issues. Vaccines. 2023;11(1):104.
Öz
Amaç: Aşılama, pandemi sürecinde enfeksiyonun önlenmesi ve kontrol edilmesi için kilit bir stratejidir; bu nedenle toplumun özel bir kısmi olan psikiyatrik tanılı hastalarda COVID 19 aşısına yönelik tutumlar ve aşıya karar verme sürecini etkileyen faktörleri araştırmayı amaçladık.
Gereç ve Yöntem: Psikiyatri poliklinik başvuruları bulunan çalışmaya alınma, dışlanma kriterlerini karşılayan depresif bozukluk, anksiyete bozukluğu, obsesif kompulsif bozukluk, bipolar bozukluk, psikotik bozukluk, kişilik bozukluğu tanıları olan 200 hastaya sosyodemografik veri toplama formu, COVID 19 hastalık algısı ölçeği, COVID 19’un nedenleri algısı ölçeği, COVID 19’un kontrolü algısı ölçeği, COVID 19’dan kaçınma tutumları ölçeği ve COVID 19 aşısına yönelik tutumlar ölçeği uygulanmıştır.
Bulgular: Hastaların %77’si (n=154) COVID 19 ile ilgili gelişmeleri takip ettiği, %40’ının (n=80) COVID 19 geçirdiği, %53,5’inin (n=107) ailesinde COVID 19 geçiren bir kişinin olduğu, %22,5’inin (n=45) yakınlarından birinin COVID 19’ dan dolayı hayatını kaybettiği saptanmıştır. Hastaların %93,5’i (n=187) hastalıktan korunduğunu, %78,5’inin (n=157) hastalıktan korkulması gerektiğini, %18,5’inin (n=37) çevrelerindeki insanların kurallara uyduğunu belirtmektedir. Hastaların %88’inin (n=176) en az bir doz COVID 19 aşısı olduğu saptanmıştır. COVID 19 ile ilgili gelişmeleri takip edenlerde ve COVID
19’dan korkanlarda aşılanma oranı daha yüksek bulunmuştur (p=0.008, p=0.042). Aşılanma durumunun sosyodemografik özelliklerle ilişkisine bakıldığında yaş, cinsiyet, medeni durum, eğitim düzeyi ve çalışma durumuna göre farklılık göstermediği saptanmıştır (p>0.05). Aşılanma durumunun psikiyatrik tanılara göre farklılık gösterdiği saptanmıştır (p=0.04). Bipolar bozukluk ve psikotik bozukluk tanılı hastalarda aşılanmama oranının daha yüksek olduğu saptanmıştır.
Sonuç: Çalışmamız, psikiyatrik hastalığı olan bireylerin COVID 19 salgını ve aşısına yönelik tutumlarının daha iyi anlaşılmasına katkı sağlamaktadır. Bipolar bozukluk ve psikotik bozukluk tanılı hastalarda aşılanmama oranının daha yüksek olduğu saptanmış, ayrıca COVID 19 ile ilgili gelişmeleri takip eden ve hastalıktan korkan bireylerde aşılanma oranının daha yüksek olduğu görülmüştür. Bu bulgular, psikiyatrik hastalığı olan bireylere yönelik daha etkili destek ve müdahale stratejilerinin geliştirilmesine yardımcı olabilir.
Anahtar Kelimeler
Kaynakça
- Tzur Bitan D, Kridin K, Cohen AD, Weinstein O. COVID-19 hospitalisation, mortality, vaccination, and postvaccination trends among people with schizophrenia in Israel: a longitudinal cohort study. The Lancet Psychiatry. 2021;8(10):901-8.
- Danenberg R, Shemesh S, Tzur Bitan D, et al. Attitudes of patients with severe mental illness towards COVID-19 vaccinations: a preliminary report from a public psychiatric hospital. Journal of Psychiatric Research. 2021;143:16-20.
- De Hert M, Mazereel V, Stroobants M, De Picker L, Van Assche K, Detraux J. COVID-19 related mortality risk in people with severe mental illness: a systematic and critical review. Front Psychiatry. 2021;12:798554.
- Başar K. Vaccination and mental illness: the role of mental health professionals. Turkish Journal of Psychiatry. 2021;32(4):5-6.
- Nazlı Ş B, Yığman F, Sevindik M, Deniz Özturan D. Psychological factors affecting COVID-19 vaccine hesitancy. Irish Journal of Medical Science. 2022;191(1):71-80.
- Hao F, Wang B, Tan W, et al. Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China. BJPsych Open. 2021;7(5):e146. Bai W, Cai H, Jin Y, et al. COVID-19 vaccine hesitancy in community-dwelling and hospitalized patients with severe mental illness. Psychol Med. 2023;53(9):4288-90.
- Pandolfo G, Genovese G, Iannuzzo F, Bruno A, Pioggia G, Gangemi S. COVID-19 vaccination and mental disorders, what has been accomplished and future direction. Brain Sciences. 2022;12(2):292.
- Ren X, Shen F, Gui Y, Wang W, Xing B, Huang W. The attitudes of psychiatric patients towards COVID-19 vaccination in China: a cross-sectional study. BMC Psychiatry. 2021;21(1):475.
- Geniş B, Gürhan N, Koç M, et al. Development of perception and attitude scales related with COVID-19 pandemia. Pearson Journal of Social Sciences-Humanities. 2020;5(7):306-28.
- Goldberger N, Bergman-Levy T, Haklai Z, et al. COVID-19 and severe mental illness in Israel: testing, infection, hospitalization, mortality and vaccination rates in a countrywide study. Molecular Psychiatry. 2022;27(7):3107-14.
- Kılıç OHT, Akdeniz G, Göksu MG, Manoğlu BG. COVID-19 vaccination rates in patients with severe mental. Izmir Democracy University Health Sciences Journal. 2023;6(3):435-44.
- Republic of Türkiye ministry of health COVID-19 vaccine information platform. https://covid19asi.saglik.gov.tr/ Accessed April 12, 2024.
- Huang H, Zhu XM, Liang PW, et al. COVID-19 vaccine uptake, acceptance, and hesitancy among persons with mental disorders during the second stage of China's nationwide vaccine rollout. Frontiers ın Medicine. 2021;8:761601.
- Curtis HJ, Inglesby P, Morton CE, et al. Trends and clinical characteristics of COVID-19 vaccine recipients: a federated analysis of 57.9 million patients’ primary care records in situ using OpenSAFELY. The British Journal of General Practice: The Journal Of The Royal College of General Practitioners. 2022;72(714):51-62.
- Gundogmus AG, Ercan Dogu S, Zengin Ispir G. Comparison of attitudes toward the coronavirus disease vaccine, fear of coronavirus disease, and perception regarding causes of coronavirus disease between patients with serious mental illness and healthy controls. Journal of Public Health. 2023.
- Payberah E, Payberah D, Sarangi A, Gude J. COVID-19 vaccine hesitancy in patients with mental illness: strategies to overcome barriers-a review. The Journal of the Egyptian Public Health Association. 2022;97:5.
- Raffard S, Bayard S, Eisenblaetter M, et al. Diminished capacity to make treatment decision for COVID-19 vaccination in schizophrenia. European Archives of Psychiatry and Clinical Neuroscience. 2023;273(2):511-5.
- Grove LR, Emerson KR, Merola LS, Andries S, Cohen DA. Attitudes toward COVID-19 vaccination among behavioral health service clients. Psychiatric Services. 2023;74(12):1281-4.
- Liu I, Cruz A, Gamcsik S, Harris SC. Reducing barriers to COVID-19 vaccine uptake through a culturally sensitive pharmacy-led patient medication education group in a behavioral health population. Journal of the American Pharmacists Association: JAPhA. 2023;63(3):915-9.
- Abu Hammour K, Abu Farha R, Manaseer Q, Al-Manaseer B. Factors affecting the public's knowledge about COVID-19 vaccines and the influence of knowledge on their decision to get vaccinated. Journal of the American Pharmacists Association: JAPhA. 2022;62(1):309-16.
- Lee H, Park JH, Kim S, et al. Effect of information provision on parental intention toward COVID-19 vaccination for children: a nationwide survey experiment. Scientific Reports. 2024;14(1):5354.
- Kalra S, Kalra D, Grafova I, et al. Association of death or illness from COVID-19 among family and friends on vaccine uptake within four months of the emergency use authorization. findings from a national survey in the United States. Vaccine. 2023;41(12):1911-5.
- Skidmore M. The role of social circle COVID-19 illness and vaccination experiences in COVID-19 vaccination decisions: an online survey of the United States population. BMC Infectious Diseases. 2023;23(1):51.
- Gilan D, Birkenbach M, Wossidlo M, et al. Fear of COVID-19 disease and vaccination as predictors of vaccination status. Scientific Reports. 2023;13(1):8865.
- Erdem D, Karaman I. Impact of corona-phobia on attitudes and acceptance towards COVID-19 vaccine among cancer patients: a single-center study. Future Oncology (London, England). 2022;18(4):457-69.
- Lim C, Van Alphen MU, Maclaurin S, et al. Increasing COVID-19 vaccination rates among patients with serious mental illness: a pilot intervention study. Psychiatric Services. 2022;73(11):1274-7.
- Okubo T, Inoue A, Sekijima K. Who got vaccinated for COVID-19? evidence from Japan. Vaccines. 2021;9(12):1505.
- Kilic M, Ustundag Ocal N, Uslukilic G. The relationship of COVID-19 vaccine attitude with life satisfaction, religious attitude and COVID-19 avoidance in Turkey. Human Vaccines & Immunotherapeutics. 2021;17(10):3384-93.
- Eriş H, Karasu F, Ayar D. Perceptions of vaccine trust and conspiracy among those with COVID-19 vaccine hesitancy and resistance: a cross-sectional study. Global Health Promotion. 2023;30(4):6-15.
- Akbulut S, Boz G, Ozer A, Sahin TT, Colak C. Evaluation of the Turkish population's perspective on COVID- 19 vaccine hesitancy and routine childhood vaccine applications: national survey study. Vaccines. 2023;11(4):779.
- Durmaz N, Suman M, Ersoy M, Örün E. Parents' attitudes toward childhood vaccines and COVID-19 vaccines in a Turkish pediatric outpatient population. Vaccines. 2022;10(11):1958.
- Özdinç A, Değer MS, Atak M, Demir İ. Talking about the vaccine after the pandemic: a cross-sectional study among youth in Turkey and ethical issues. Vaccines. 2023;11(1):104.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Psikiyatri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Mart 2025 |
| Gönderilme Tarihi | 25 Eylül 2024 |
| Kabul Tarihi | 11 Kasım 2024 |
| Yayımlandığı Sayı | Yıl 2025Cilt: 64 Sayı: 1 |
