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Depression, Anxiety, Perceived Stress and Family Support in COVID-19 Patients

Mahdieh Hosseini Largani1, Fatemeh Gorgani1, Mahsa Abbaszadeh1

  • 1Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Psychiatry
|December 7, 2022
PubMed

Insights

High stress, anxiety, and depression were prevalent in hospitalized COVID-19 patients. Family support showed a significant negative correlation with anxiety and depression, highlighting its importance in mental health care.

Area of Science:

  • Psychiatry
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic has led to widespread psychological distress among various populations.
  • Hospitalized patients, in particular, face unique stressors contributing to mental health challenges.
  • Understanding the prevalence of psychological issues and their correlates is crucial for effective intervention.

Purpose of the Study:

  • To determine the prevalence of perceived stress, anxiety, and depression in COVID-19 patients.
  • To investigate the association between these psychological factors and the level of social support received from family.
  • To inform targeted mental health support strategies for hospitalized COVID-19 patients.

Main Methods:

  • A cross-sectional study involving 100 COVID-19 patients hospitalized between March and April 2020.
  • Utilized the Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS-4), and Perceived Social Support Scale-Family (PSS-Fa).
  • Employed Pearson's correlation coefficient to analyze relationships between psychological variables and family support.

Main Results:

  • High levels of perceived stress (26%), anxiety symptoms (29%), and depressive symptoms (17%) were observed.
  • Borderline conditions for anxiety (17%) and depression (23%) were also significant.
  • Family support was negatively and significantly correlated with both anxiety (r = -0.249, P < 0.05) and depression (r = -0.221, P < 0.05).

Conclusions:

  • Hospitalized COVID-19 patients exhibit a high prevalence of anxiety and depression.
  • Enhancing family support is a critical non-clinical intervention to mitigate psychological distress.
  • Focusing on psychological first aid and resilience building can prevent long-term mental health disorders.

Keywords:
AnxietyCOVID-19DepressionSocial SupportStress

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