Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study
Background: Global pandemic resulted from the coronavirus disease-19 (COVID-19) demands mental health concerns on the affected population. We examine the time-course shift of psychological burden among suspected and confirmed COVID-19 patients. Methods: Participants with suspected or confirmed COVID...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-08-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664621000784 |
| _version_ | 1818649614758182912 |
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| author | Denise Utami Putri Yi-San Tsai Jin-Hua Chen Ching-Wen Tsai Chung-Yi Ou Chiao-Ru Chang Hui-Chun Chen Mong-Liang Lu Ming-Chih Yu Chih-Hsin Lee |
| author_facet | Denise Utami Putri Yi-San Tsai Jin-Hua Chen Ching-Wen Tsai Chung-Yi Ou Chiao-Ru Chang Hui-Chun Chen Mong-Liang Lu Ming-Chih Yu Chih-Hsin Lee |
| author_sort | Denise Utami Putri |
| collection | DOAJ |
| description | Background: Global pandemic resulted from the coronavirus disease-19 (COVID-19) demands mental health concerns on the affected population. We examine the time-course shift of psychological burden among suspected and confirmed COVID-19 patients. Methods: Participants with suspected or confirmed COVID-19 were included in the cohort. Consecutive surveys were conducted upon hospital admission, discharge, and during outpatient follow-up by adapting the 5-item brief symptom rating scale (BSRS-5) assessing psychological symptoms including anxiety, depression, hostility, interpersonal sensitivity, and insomnia. The sixth measure to observe suicidal ideation was also included. Results: A total of 109 eligible patients participated in the study, in which 83.49% reported no distress upon hospital admission, while 2.75%, 3.66%, and 10.1% patients were assessed as being with severe, moderate and mild psychological distress, respectively. Overall, age, sex, and history of contact did not significantly differ between patients with and without psychological distress. Multivariate logistic regression revealed that patients admitted during April–May (OR: 7.66, 95% CI: 1.46–40.28) and presented with symptoms including sore throat (OR: 4.24, 95% CI: 1.17–15.29) and malaise (OR: 5.24, 95% CI: 1.21–22.77) showed significantly higher risk of psychological distress. Cough symptom interestingly showed lower risk of emotional distress (OR: 0.25, 95% CI: 0.08–0.81). Subsequent surveys upon hospital discharge and during outpatient follow-up revealed steadily declining distress among all cohort. Conclusion: At least 16.5% of our cohort reported psychological distress upon hospital admission, with distinct time-dependent decline. Access to mental health support, alongside with promoting positive activities for good mental health are pivotal for those directly affected. |
| first_indexed | 2024-12-17T01:37:08Z |
| format | Article |
| id | doaj.art-fba7c798be1748ef9c4a8841d8793b69 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-17T01:37:08Z |
| publishDate | 2021-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-fba7c798be1748ef9c4a8841d8793b692022-12-21T22:08:25ZengElsevierJournal of the Formosan Medical Association0929-66462021-08-01120816021610Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort studyDenise Utami Putri0Yi-San Tsai1Jin-Hua Chen2Ching-Wen Tsai3Chung-Yi Ou4Chiao-Ru Chang5Hui-Chun Chen6Mong-Liang Lu7Ming-Chih Yu8Chih-Hsin Lee9Pulmonary Research Center, Wanfang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wanfang Hospital, Taipei Medical University, Taipei, Taiwan; School of Nursing, College of Nursing, Taipei Medical University, Taipei, TaiwanStatistics Center, Office of Data Science, Taipei Medical University, Taipei, Taiwan; Graduate Institute of Data Science, College of Management, Taipei Medical University, Taipei, TaiwanStatistics Center, Office of Data Science, Taipei Medical University, Taipei, TaiwanDepartment of Infectious Diseases, Wanfang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wanfang Hospital, Taipei Medical University, Taipei, TaiwanCenter for Nursing and Healthcare Research in Clinical Practice Application, Wanfang Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Psychiatry, Wanfang Hospital, Taipei Medical University, Taipei, TaiwanSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan; Divisions of Pulmonary Medicine, Department of Internal Medicine, Wanfang Hospital, Taipei Medical University, Taipei, TaiwanPulmonary Research Center, Wanfang Hospital, Taipei Medical University, Taipei, Taiwan; Division of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Corresponding author. Tuberculosis Center and Pulmonary Research Center, Wanfang Hospital, Taipei Medical University, 111, Sec. 3, Xinglong Rd., Wenshan Dist., Taipei 116, Taiwan.Background: Global pandemic resulted from the coronavirus disease-19 (COVID-19) demands mental health concerns on the affected population. We examine the time-course shift of psychological burden among suspected and confirmed COVID-19 patients. Methods: Participants with suspected or confirmed COVID-19 were included in the cohort. Consecutive surveys were conducted upon hospital admission, discharge, and during outpatient follow-up by adapting the 5-item brief symptom rating scale (BSRS-5) assessing psychological symptoms including anxiety, depression, hostility, interpersonal sensitivity, and insomnia. The sixth measure to observe suicidal ideation was also included. Results: A total of 109 eligible patients participated in the study, in which 83.49% reported no distress upon hospital admission, while 2.75%, 3.66%, and 10.1% patients were assessed as being with severe, moderate and mild psychological distress, respectively. Overall, age, sex, and history of contact did not significantly differ between patients with and without psychological distress. Multivariate logistic regression revealed that patients admitted during April–May (OR: 7.66, 95% CI: 1.46–40.28) and presented with symptoms including sore throat (OR: 4.24, 95% CI: 1.17–15.29) and malaise (OR: 5.24, 95% CI: 1.21–22.77) showed significantly higher risk of psychological distress. Cough symptom interestingly showed lower risk of emotional distress (OR: 0.25, 95% CI: 0.08–0.81). Subsequent surveys upon hospital discharge and during outpatient follow-up revealed steadily declining distress among all cohort. Conclusion: At least 16.5% of our cohort reported psychological distress upon hospital admission, with distinct time-dependent decline. Access to mental health support, alongside with promoting positive activities for good mental health are pivotal for those directly affected.http://www.sciencedirect.com/science/article/pii/S0929664621000784Mental healthCOVID-19Emotional distressHolistic medicine |
| spellingShingle | Denise Utami Putri Yi-San Tsai Jin-Hua Chen Ching-Wen Tsai Chung-Yi Ou Chiao-Ru Chang Hui-Chun Chen Mong-Liang Lu Ming-Chih Yu Chih-Hsin Lee Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study Journal of the Formosan Medical Association Mental health COVID-19 Emotional distress Holistic medicine |
| title | Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study |
| title_full | Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study |
| title_fullStr | Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study |
| title_full_unstemmed | Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study |
| title_short | Psychological distress assessment among patients with suspected and confirmed COVID-19: A cohort study |
| title_sort | psychological distress assessment among patients with suspected and confirmed covid 19 a cohort study |
| topic | Mental health COVID-19 Emotional distress Holistic medicine |
| url | http://www.sciencedirect.com/science/article/pii/S0929664621000784 |
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