id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-273331-pu4cr3bh	Pinkham, Amy E.	A Longitudinal Investigation of the Effects of the COVID-19 Pandemic on the Mental Health of Individuals with Pre-existing Severe Mental Illnesses	2020-10-01		.txt	text/plain	3715	173	47	OBJECTIVE: Individuals with severe mental illnesses (SMI), including schizophrenia spectrum illnesses and affective disorders, may be at increased risk for negative mental health outcomes related to the COVID-19 pandemic. METHODS: 148 individuals with SMI (92 with schizophrenia spectrum illnesses and 56 with affective disorders) were recruited from ongoing ecological momentary assessment studies that sampled day-to-day experiences and symptom severity prior to the pandemic. The key aim of this report is therefore to compare prepandemic and current symptom ratings to identify the impact of the pandemic on mental health among individuals with pre-existing SMI. The effect of the pandemic on affective experiences, symptoms, and behavioral health (i.e., sleep and substance use) was then assessed via a series of repeated measures ANOVAs that used time as the within-subject variable (pre-pandemic EMA averages vs.	./cache/cord-273331-pu4cr3bh.txt	./txt/cord-273331-pu4cr3bh.txt