Associations between psychiatric disorders, COVID-19 testing probability and COVID-19 testing results: findings from a population-based study

Dennis van der Meer, Justo Pinzon-Espinosa*, Bochao D. Lin, Joeri K. Tijdink, Christiaan H. Vinkers, Sinan Guloksuz, Jurjen J. Luykx

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

21 Citations (Web of Science)

Abstract

Background

Many psychiatrists are worried their patients, at increased risk for COVID-19 complications, are precluded from receiving appropriate testing. There is a lack of epidemiological data on the associations between psychiatric disorders and COVID-19 testing rates and testing outcomes.

Aims

To compare COVID-19 testing probability and results among individuals with psychiatric disorders with those without such diagnoses, and to examine the associations between testing probability and results and psychiatric diagnoses.

Method

This is a population-based study to perform association analyses of psychiatric disorder diagnoses with COVID-19 testing probability and such test results, by using two-sided Fisher exact tests and logistic regression. The population were UK Biobank participants who had undergone COVID-19 testing. The main outcomes were COVID-19 testing probability and COVID-19 test results.

Results

Individuals with psychiatric disorders were overrepresented among the 1474 UK Biobank participants with test data: 23% of the COVID-19 test sample had a psychiatric diagnosis compared with 10% in the full cohort (P<0.0001). This overrepresentation persisted for each of the specific psychiatric disorders tested. Furthermore, individuals with a psychiatric disorder (P= 0.01), particularly substance use disorder (P<0.005), had negative test results significantly more often than individuals without psychiatric disorders. Sensitivity analyses confirmed our results.

Conclusions

In contrast with our hypotheses, UK Biobank participants with psychiatric disorders have been tested for COVID-19 more frequently than individuals without a psychiatric history. Among those tested, test outcomes were more frequently negative for registry participants with psychiatric disorders than in others, countering arguments that people with psychiatric disorders are particularly prone to contract the virus.

Original languageEnglish
Article number87
Number of pages7
JournalBjpsych open
Volume6
Issue number5
DOIs
Publication statusPublished - Sep 2020

Keywords

  • Epidemiology
  • service users
  • stigma and discrimination
  • outcome studies
  • COVID-19
  • SERIOUS MENTAL-ILLNESS
  • UK BIOBANK
  • HEALTH-CARE
  • PEOPLE

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