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Mental health status of patients with coronavirus disease 2019 in Changsha
Xuemei Qin1, Kongliang Shu2, Mi Wang3
1Institute of Mental Health, Central South University; National Clinical Research Center for Mental Disorders; National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Changsha 410011. may1579492666@163.com.
Insights
COVID-19 patients in Changsha exhibit higher rates of somatization, depression, anxiety, and sleep/eating disorders compared to the general population. Mild cases show better mental health than SARS patients, necessitating tailored psychological support.
Area of Science:
- Psychiatry and Mental Health
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic has significantly impacted global public health, leading to increased psychological distress.
- Patients diagnosed with COVID-19 are particularly vulnerable to mental health challenges.
- Understanding the specific mental health burden on COVID-19 patients is crucial for effective intervention.
Purpose of the Study:
- To investigate the prevalence and nature of mental health issues among COVID-19 patients in Changsha.
- To compare the psychological profiles of COVID-19 patients with the general population and patients who experienced SARS.
- To identify specific psychological symptoms and their correlation with disease severity.
Main Methods:
- A cross-sectional study involving 112 COVID-19 patients in Changsha.
- Utilized questionnaires, including the Symptom Check-List 90 (SCL-90), for data collection.
- Employed Mann-Whitney U, Chi-square, Fisher's exact, and single sample t-tests for statistical analysis.
Main Results:
- Obsessive-compulsive disorder, depression, and sleep/eating disorders were most frequent among COVID-19 patients.
- COVID-19 patients showed significantly higher SCL-90 factor scores for somatization, depression, anxiety, phobia anxiety, and sleep/eating disorders compared to the norm.
- Mild-to-moderate COVID-19 patients had better mental health outcomes (lower scores in somatization, depression, anxiety, hostility) than SARS patients.
Conclusions:
- COVID-19 patients in Changsha exhibit elevated levels of psychological distress, including somatization, depression, and anxiety.
- The mental health status of mild-to-moderate COVID-19 patients is comparatively better than that of SARS patients.
- Psychological interventions should be tailored based on the severity of COVID-19 illness.
Objectives:
The epidemic of coronavirus disease 2019 (COVID-19) brought psychological stress to the public, especially to patients. This study aims to investigate the mental health of patients with COVID-19 in Changsha.
Methods:
We took cross-section investigation for the mental health of 112 patients with COVID-19 via questionnaires. Mann-Whitney U test, Chi-square test, and Fisher's exact test were performed to compare general and clinical data between the slight-ordinary patients and severe patients. Single sample t-tests were used to compare the difference between the factor scores of the Symptom Check-List 90 (SCL-90) in COVID-19 patients with the norm of 2015 and factor scores of SCL-90 in patients with the severe acute respiratory syndrome (SARS).
Results:
The obsessive-compulsive, depression, sleep and eating disorders had the highest frequency among the positive symptoms of SCL-90 in patients with COVID-19 in Changsha. The factor scores of somatization, depression, anxiety, phobia anxiety, sleep and eating disorders in patients with COVID-19 were higher than those of the norm (P≤0.001 or P<0.05). Slight-ordinary patients with COVID-19 in Changsha showed lower factor scores of somatization, depression, anxiety, and hostility compared with the patients with SARS (P<0.001 or P<0.05). There was no difference in factor scores of SCL-90 between the patients with severe COVID-19 and those with SARS(P>0.05).
Conclusions:
The levels of somatization, depression, anxiety, phobia anxiety, sleep and eating disorders in patients with COVID-19 in Changsha are higher than those of the norm. However, the mental health of slight-ordinary patients with COVID-19 is better than that of patients with SARS. It needs to provide targeting psychological interventions depending on the severity of patients.
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