**Psychological and Emotional Impact of Patients Living in Psychiatric Treatment Communities during Covid-19 Lockdown in Italy**

**Jessica Burrai 1,2,\*, Paolo Roma 3, Benedetta Barchielli 1, Silvia Biondi 3, Pierluigi Cordellieri 2, Angelo Fraschetti 2, Alessia Pizzimenti 4, Cristina Mazza 5, Stefano Ferracuti <sup>3</sup> and Anna Maria Giannini <sup>2</sup>**


Received: 28 October 2020; Accepted: 21 November 2020; Published: 23 November 2020

**Abstract:** Most studies on well-being during the COVID-19 pandemic have focused on the mental health of the general population; far less attention has been given to more specific populations, such as patients with mental illness. Indeed, it is important to examine the psychiatric population, given its vulnerability. The present study aimed at assessing the psychological and emotional impact of isolation on patients in Residential Rehabilitation Communities, compared to healthy controls. A questionnaire was administered cross-sectionally on an online survey platform and both psychiatric patients and healthy controls accessed via a designed link. The results showed significant differences between psychiatric patients and controls on Anxiety, Stress, Worry, and Risk Perception variables. Psychiatric patients scored lower on Stress compared to healthy controls and higher on Anxiety, Perceived Risk of getting infected with COVID-19 and Worry about the emergency situation. The results showed that, during the Italian lockdown, psychiatric patients living in residential communities received unbroken support from peers and mental health professionals, maintained their usual medication treatment, and were informed of COVID-19 consequences. This finding provides insight into the differences between residential and healthy populations and highlights the importance of continuous support for psychiatric patients, especially during stressful situations such as a pandemic.

**Keywords:** Covid-19; psychiatric patients; stress; anxiety; depression; coping; worry; risk perception; mental illness
