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Psychological Symptoms and Self-Medication Behavior among COVID-19 Recoverees
Sarah Mousavi1, Mohammadreza Razmi Afshar2
1Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Many COVID-19 survivors experience significant depressive symptoms and emotional distress. Over 30% reported self-medication, with depression being a key predictor, highlighting the need for better mental health support post-COVID.
Area of Science:
- Psychiatry and Mental Health
- Public Health
- Pharmacology
Background:
- The COVID-19 pandemic has exacerbated psychological symptoms, persisting even after recovery.
- Screening instruments are often used to assess symptoms, though diagnostic tools are required for formal psychiatric disorder measurement.
- Self-medication practices are a concern in post-viral recovery populations.
Purpose of the Study:
- To determine the prevalence of depressive symptoms and emotional distress (anxiety, stress) in COVID-19 recoverees.
- To investigate the prevalence and predictors of self-medication behaviors among these individuals.
Main Methods:
- A cross-sectional study involving 400 adult COVID-19 recoverees in Isfahan, Iran.
- Utilized Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms and Depression Anxiety Stress Scales-21 (DASS-21) for emotional distress.
- A researcher-designed questionnaire assessed self-medication; logistic regression identified predictors.
Main Results:
- 35.1% experienced moderate to severe depressive symptoms (PHQ-9 ≥ 10).
- 38.8% reported moderate to severe anxiety and 33.5% moderate to severe stress (DASS-21).
- 32.8% engaged in self-medication (sedatives, antidepressants, herbal remedies); depression was a significant predictor (OR = 2.18).
Conclusions:
- High prevalence of psychological symptoms and self-medication observed in COVID-19 recoverees.
- Depression, not anxiety or stress, was linked to self-medication behavior.
- Emphasizes the need for enhanced mental health support and regulated medication access in post-COVID care.
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