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.

Oman Medical Journal
|April 28, 2023
PubMed

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.
Abstract

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