‘Now you will understand what it is like to be confined’: Did COVID-19 lockdowns affect perceptions about long-term psychiatric hospitalizations? A report from Argentina

Abstract

Background: Lockdowns have been one of the government’s primary measures to control COVID-19, especially during the initial waves of the pandemic, but there is concern on the impact of lockdowns on people’s mental health. Confinement is still today the reality of many people with severe mental illness in many places of the world. Objective: Given that the general population experienced confinement during the COVID-19 pandemic, we sought to explore if that affected perceptions about long-term psychiatric hospitalizations. Methods: About 134 residents from middle-class neighborhoods in urban settings in the Province of Buenos Aires, Argentina, were surveyed. Participants were asked if they felt emotionally affected by the pandemic and lockdown, and about their perceptions of long-term psychiatric hospitalizations. Association between personal emotional impact by the pandemic or lockdown with perceptions about long-term psychiatric hospitalization were analyzed using chi-square test. Qualitative analysis of pandemic and lockdown effects was held. Results: Respondents tended to overlap the emotional effects of the pandemic and the lockdown. Some responses explicitly referred to confinement. No association was observed between emotional impact by the pandemic or lockdown and perceptions about long-term psychiatric hospitalization among the sample. The general population’s perceptions of long-term psychiatric hospitalization do not appear to be affected by the first-hand experience of confinement, which suggest persistence of stigma, and the need to reconsider public policies and actions that attempt to impact on it.