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dc.contributor.authorKvarstein, Elfrida Hartveit
dc.contributor.authorZahl, Kjell-Einar
dc.contributor.authorStänicke, Line Indrevoll
dc.contributor.authorPettersen, Mona Skjeklesæther
dc.contributor.authorBaltzersen, Åse-Line
dc.contributor.authorJohansen, Merete Selsbakk
dc.contributor.authorEikenæs, Ingeborg Helene Ulltveit-Moe
dc.contributor.authorArnevik, Espen Kristian Ajo
dc.contributor.authorHummelen, Benjamin
dc.contributor.authorWilberg, Theresa
dc.contributor.authorPedersen, Geir Arild Feigum
dc.date.accessioned2021-12-09T11:12:56Z
dc.date.available2021-12-09T11:12:56Z
dc.date.issued2021-06-14
dc.description.abstract<p>Background: The societal shutdown due to the Covid-19 pandemic involved mental health services for personality disorder (PD) and was introduced from 12 March 2020 in Norway. Rapid implementa- tion of treatment modifications was required for patients typically characterized by insecure attach- ment and vulnerability to separation. <p>Aim: To investigate immediate reactions to the shutdown of services; alternative treatment received; and differences related to age in a clinical sample of patients with PD. <p>Design: A survey performed from June to October 2020 (after the first Covid-19 wave) among 1120 patients from 12 units offering comprehensive group-based PD programs. <p>Results: The response-rate was 12% (N¼133). Negative feelings of anxiety, sadness, and helplessness were noteworthy immediate reactions, but the dominating attitude was accommodation. Younger patients (<26 years) reported more skepticism and less relief. Modified treatment was mainly tele- phone therapy. Digital therapy was less available, but was more frequent among younger patients. A minority received digital group therapy. Most patients rated the frequency and quality of modified treatments as satisfactory in the given situation, but also worried about own treatment progress, lack of group therapy, and 47% missed seeing the therapist when having telephone consultations. <p>Conclusion: The survey confirms a radical modification from comprehensive group-based PD pro- grams to telephone consultations, low availability of digital consultations and group treatments. Taking a short-term, first wave perspective, the survey indicates a noteworthy capacity among poorly functioning patients for accommodating to a clearly challenging situation, as well as considerable con- cern about treatment progress.en_US
dc.identifier.citationKvarstein EH, Zahl K, Stänicke Li, Pettersen MS, Baltzersen Å, Johansen M, Eikenæs IH, Arnevik EA, Hummelen B, Wilberg T, Pedersen GAF. Vulnerability of personality disorder during the Covid-19 crises – a multicenter survey of treatment experiences among patients referred to treatment. Nordic Journal of Psychiatry. 2021en_US
dc.identifier.cristinIDFRIDAID 1961424
dc.identifier.doi10.1080/08039488.2021.1934110
dc.identifier.issn0803-9488
dc.identifier.issn1502-4725
dc.identifier.urihttps://hdl.handle.net/10037/23325
dc.language.isoengen_US
dc.publisherTaylor and Francisen_US
dc.relation.journalNordic Journal of Psychiatry
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.titleVulnerability of personality disorder during the Covid-19 crises – a multicenter survey of treatment experiences among patients referred to treatmenten_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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