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Scientific paper - Original scientific paper
Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points
Frontiers in Psychiatry, 14 (2023); 1264875. https://doi.org/10.3389/fpsyt.2023.1264875
Medved, Sara; Rojnić Palavra, Irena; Gerlach, Josefina; Levaj, Sarah; Shields-Zeeman, Laura; Bolinski, Felix; Bradaš, Zoran; Madžarac, Zoran; Filipčić, Igor; Rojnić Kuzman, Martina

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Medved, S., Rojnić Palavra, I., Gerlach, J., Levaj, S., Shields Zeeman, L., Bolinski, F. ... Rojnić Kuzman, M. (2023). Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points. Frontiers in Psychiatry, 14.. doi: 10.3389/fpsyt.2023.1264875

Medved, Sara, et al. "Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points." Frontiers in Psychiatry, vol. 14, 2023. https://doi.org/10.3389/fpsyt.2023.1264875

Medved, Sara, Irena Rojnić Palavra, Josefina Gerlach, Sarah Levaj, Laura Shields Zeeman, Felix Bolinski, Zoran Bradaš, Zoran Madžarac, Igor Filipčić and Martina Rojnić Kuzman. "Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points." Frontiers in Psychiatry 14 (2023). https://doi.org/10.3389/fpsyt.2023.1264875

Medved, S., et al. (2023) 'Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points', Frontiers in Psychiatry, 14. doi: 10.3389/fpsyt.2023.1264875

Medved S, Rojnić Palavra I, Gerlach J, Levaj S, Shields Zeeman L, Bolinski F, and sur.. Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points. Frontiers in Psychiatry [Internet]. 2023 December 15 [cited 2025 February 07];14. doi: 10.3389/fpsyt.2023.1264875

S. Medved, et al., "Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points", Frontiers in Psychiatry, vol. 14, December 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:657131. [Accessed: 07 February 2025]

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Metadata
Title (english)Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points
AuthorSara Medved
AuthorIrena Rojnić Palavra
AuthorJosefina Gerlach
AuthorSarah Levaj
AuthorLaura Shields-Zeeman
AuthorFelix Bolinski
AuthorZoran Bradaš
AuthorZoran Madžarac
AuthorIgor Filipčić
AuthorMartina Rojnić Kuzman
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Psychiatry and Psychological Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Psychiatry
Abstract (english)
Introduction: External stressors, such as COVID-19 pandemic and earthquake, can cause an increase in substance use and addictive behavior in persons with severe mental illnesses (SMI). We analyzed the changes and predictors of substance use and addictive behavior in SMI during these double disasters in Croatia. Methods: Questionnaires exploring the presence of substance or behavior addiction disorder, mental ill health [Depression Anxiety Stress Scales-21 (DASS-21), Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), Obsessive-Compulsive Inventory-Revised], coping mechanisms, and perceived social support [Multidimensional Scale of Perceived Social Support (MSPSS)] were administered among 90 participants with SMI included in the RECOVER-E study in May/June 2020 (first COVID-19 wave, Zagreb earthquake) and in December 2020/January 2021 (second COVID-19 wave, Petrinja earthquake). Results: In both time points, a major increase was observed in tobacco smoking (25.0%; 28.6%, respectively) predicted by discontinuation of antidepressants and higher DASS-21 score. Increased sedative use was observed (24.4%; 23.8%, respectively) predicted by higher PSS and ISI scores, lower MSPSS scores, antipsychotic discontinuation and not receiving community mental health team (CMHT) service. Discussion: In persons with SMI during a double disaster special attention needs to be given to reducing mental-ill health and stress, providing social support and continuity of psychiatric care, through medications and CMHTs.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleFrontiers in Psychiatry
Numberingvol. 14, 1264875
e-ISSN1664-0640
DOIhttps://doi.org/10.3389/fpsyt.2023.1264875
URN:NBNurn:nbn:hr:105:657131
Publication2023-12-15
Document URLhttps://www.frontiersin.org/articles/10.3389/fpsyt.2023.1264875/full
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2024-12-16 08:27:46