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Prevalence of Psychological Distress and Posttraumatic Stress Symptoms and Associated Factors in Hospitalized Iranian
Mahobeh Faramarzi1, Mohammad Chehrazi2, Farzan Kheirkhah3
1Department of General Courses, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Insights
Most hospitalized COVID-19 patients experience significant psychological distress and posttraumatic stress (PTS) symptoms before discharge. Early mental health interventions during hospitalization are crucial for these patients.
Area of Science:
- Medical Research
- Psychiatry
- Infectious Diseases
Background:
- COVID-19 is a global pandemic with significant health implications.
- Inpatients with COVID-19 may experience psychological distress and posttraumatic stress (PTS).
- Understanding the prevalence and factors associated with these symptoms is vital for patient care.
Purpose of the Study:
- To investigate the prevalence of psychiatric symptoms/distress and PTS among COVID-19 inpatients.
- To identify factors associated with psychiatric distress and PTS in this population.
- To inform mental health interventions for COVID-19 patients.
Main Methods:
- Cross-sectional study conducted in two teaching referral hospitals in Iran.
- Inclusion of 477 clinically stable COVID-19 inpatients before hospital discharge.
- Utilized demographic data, Brief Symptom Inventory, and Primary Care Post Traumatic Stress Disorder Screen.
Main Results:
- 96.0% of patients reported significant psychological distress, and 8.1% reported PTS symptoms.
- Higher education level was a negative predictor of psychiatric distress (p < 0.001).
- Intensive care unit admission was a positive predictor of psychiatric distress (p < 0.001).
Conclusions:
- The majority of COVID-19 inpatients exhibit substantial psychiatric distress and PTS symptoms.
- Mental health crisis interventions should be integrated into the care of hospitalized COVID-19 patients.
- Addressing psychological needs during hospitalization can improve patient outcomes.
Objectives:
To investigate the prevalence of psychiatric symptoms/distress and posttraumatic stress (PTS) and associated factors among inpatients with COVID-19 before discharge from the hospital.
Methods:
This cross-sectional study was conducted in two teaching referral hospitals in Babol, Iran from July to November 2020. The subjects were inpatients diagnosed with COVID-19 who were clinically stable. Before their discharge from the hospital, the patients completed three questionnaires: demographic data, Brief Symptom Inventory, and Primary Care Post Traumatic Stress Disorder Screen for Diagnostic and Statistical Manual-5.
Results:
The subjects were 477 inpatients diagnosed with COVID-19 including 40 (8.4%) admitted to intensive care units. Their average age was 60.5±17.9 years; 53.9% were female. Most had symptoms of significant psychological distress (96.0%) and PTS (8.1%) prior to discharge. A higher level of education (-0.18; standard error (SE) = 0.05; p < 0.001) was a negative predictor of psychiatric distress. The admission to intensive care units (0.86; SE = 0.08; p< 0.001) was a positive predictor of psychiatric distress.
Conclusions:
Most COVID-19 inpatients suffered significant psychiatric distress and PTS symptoms before discharge. Appropriate mental health crisis interventions are recommended for COVID-19 patients during hospitalization.
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