{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T19:32:30Z","timestamp":1774467150075,"version":"3.50.1"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0790966721000380_as1\"><jats:title>Objectives:<\/jats:title><jats:p>To examine the psychological and social impact of the COVID-19 pandemic on patients with established mood disorders during a period of stringent mandated social restrictions.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966721000380_as2\"><jats:title>Methods:<\/jats:title><jats:p>Semi-structured interviews were conducted with 36 individuals attending the Galway\u2013Roscommon Mental Health Services with an International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10) diagnosis of either Bipolar Affective Disorder (BPAD) (<jats:italic>n<\/jats:italic> = 20) or Emotionally Unstable Personality Disorder (EUPD) (<jats:italic>n<\/jats:italic> = 16) in this cross-sectional study. We determined the impact of the COVID-19 restrictions on anxiety and depressive symptoms, impulsivity, thoughts of self-harm, social and occupational functioning and quality of life.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966721000380_as3\"><jats:title>Results:<\/jats:title><jats:p>The COVID-19 pandemic deleteriously impacted mental health (56.3% <jats:italic>v.<\/jats:italic> 15.0%, \u03c7<jats:sup>2<\/jats:sup> = 7.42, <jats:italic>p<\/jats:italic> = 0.02), and mood (75.0% <jats:italic>v.<\/jats:italic> 20.0%, \u03c7<jats:sup>2<\/jats:sup> = 11.17, <jats:italic>p<\/jats:italic> = 0.002) to a greater extent in the EUPD compared to the bipolar disorder cohort, with 43.8% of individuals with EUPD reporting an increase in suicidal ideation. Psychometric rating scales [Beck Anxiety Inventory (BAI), Beck Depression Scale (BDS), Beck Hopelessness Scale (BHS), Barratt Impulsivity Scale (BIS)] and Likert scales for anxiety, mood and quality of life noted significantly higher levels of psychopathology in the EUPD cohort (<jats:italic>p<\/jats:italic> &lt; 0.01). Qualitative analysis reflected quantitative data with themes of the employment of maladaptive coping mechanisms and reduced mental health supports notable.<\/jats:p><\/jats:sec><jats:sec id=\"S0790966721000380_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Individuals with EUPD are experiencing significant mental health difficulties related to the COVID-19 pandemic. The provision and recommencement of therapeutic interventions to this cohort, in particular, are warranted given the significant distress and symptoms being experienced.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ipm.2021.38","type":"journal-article","created":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T07:52:46Z","timestamp":1619682766000},"page":"363-372","source":"Crossref","is-referenced-by-count":12,"title":["Impact of the COVID-19 pandemic on patients with pre-existing mood disorders"],"prefix":"10.1017","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3463-1092","authenticated-orcid":false,"given":"James","family":"McLoughlin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret M.","family":"O\u2019Grady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Hallahan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,4,29]]},"reference":[{"key":"S0790966721000380_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(88)90050-5"},{"key":"S0790966721000380_ref27","unstructured":"WHO Outbreak Communication Guidelines (2005). Retrieved 6 May 2020, from https:\/\/www.who.int\/csr\/resources\/publications\/WHO_CDS_2005_28\/en\/"},{"key":"S0790966721000380_ref19","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1"},{"key":"S0790966721000380_ref11","unstructured":"Health Protection Surveillance Centre COVID-19 Cases in Ireland. (https:\/\/www.hpsc.ie\/a-z\/respiratory\/coronavirus\/novelcoronavirus\/casesinireland\/epidemiologyofcovid-19inireland\/COVID19%20Daily%20infographic.pdf). 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