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A quantitative and qualitative study on the neuropsychiatric sequelae of acutely ill COVID-19 inpatients in isolation facilities

Hao F. The First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China|
Ho R.C.M. | Ho C.S.H. | Pham H.Q. | Zhang Z. | Tran B.X. Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, 119077, Singapore| Quek T. Department of Psychological Medicine, National University Health System, Singapore, Singapore| McIntyre R.S. Faculty of Medicine, Duy Tan University, Da Nang, Viet Nam| Luo X. Institute for Global Health Innovations, Duy Tan University, Da Nang, Viet Nam| Hu Y. Faculty of Education, Huaibei Normal University, Huaibei, 235000, China| Zou Y. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, United States| Zhao X. Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, 100000, Viet Nam| Zhang L. Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119077, Singapore| Jiang X. Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto, Canada| Jiang L. Department of Neurology, Daping Hospital, Army Medical University, Chongqing, 400042, China| Tan W. National University of Singapore (Chongqing) Research Institute, Chongqing, China| Hu X. First Affiliated Hospital of Chongqing Medical University, Chongqing, China| Tam W. Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore|

Translational Psychiatry Số 1, năm 2020 (Tập 10, trang -)

ISSN: 21583188

ISSN: 21583188

DOI: 10.1038/s41398-020-01039-2

Tài liệu thuộc danh mục: ISI, Scopus

Article

English

Từ khóa: acute disease; adult; Betacoronavirus; China; Coronavirus infection; evaluation study; female; hospital patient; human; male; pandemic; procedures; psychology; quarantine; virus pneumonia; Acute Disease; Adult; Betacoronavirus; China; Coronavirus Infections; Evaluation Studies as Topic; Female; Humans; Inpatients; Male; Pandemics; Pneumonia, Viral; Quarantine
Tóm tắt tiếng anh
This study examined the neuropsychiatric sequelae of acutely ill patients with coronavirus disease 2019 (COVID-19) infection who received treatment in hospital isolation wards during the COVID-19 pandemic. Ten COVID-19 patients who received treatment in various hospitals in Chongqing, China; 10 age- and gender-matched psychiatric patients; and 10 healthy control participants residing in the same city were recruited. All participants completed a survey that collected information on demographic data, physical symptoms in the past 14 days and psychological parameters. Face-to-face interviews with COVID-19 patients were also performed using semi-structured questions. Among the COVID-19 patients, 40% had abnormal findings on the chest computed topography scan, 20% had dysosmia, 10% had dysgeusia, and 80% had repeated positivity on COVID-19 reverse-transcription polymerase chain reaction testing. COVID-19 and psychiatric patients were significantly more worried about their health than healthy controls (p = 0.019). A greater proportion of COVID-19 patients experienced impulsivity (p = 0.016) and insomnia (p = 0.039) than psychiatric patients and healthy controls. COVID-19 patients reported a higher psychological impact of the outbreak than psychiatric patients and healthy controls, with half of them having clinically significant symptoms of posttraumatic stress disorder. COVID-19 and psychiatric patients had higher levels of depression, anxiety and stress than healthy controls. Three themes emerged from the interviews with COVID-19 patients: (i) The emotions experienced by patients after COVID-19 infection (i.e., shock, fear, despair, hope, and boredom); (ii) the external factors that affected patients’ mood (i.e., discrimination, medical expenses, care by healthcare workers); and (iii) coping and self-help behavior (i.e., distraction, problem-solving and online support). The future direction in COVID-19 management involves the development of a holistic inpatient service to promote immune and psychological resilience. © 2020, The Author(s).

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