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

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-...

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Veröffentlicht in:Translational psychiatry 2020-10, Vol.10 (1), p.355-355, Article 355
Hauptverfasser: Hao, Fengyi, Tam, Wilson, Hu, Xiaoyu, Tan, Wanqiu, Jiang, Li, Jiang, Xiaojiang, Zhang, Ling, Zhao, Xinling, Zou, Yiran, Hu, Yirong, Luo, Xi, McIntyre, Roger S., Quek, Travis, Tran, Bach Xuan, Zhang, Zhisong, Pham, Hai Quang, Ho, Cyrus S. H., Ho, Roger C.M.
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Sprache:eng
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Zusammenfassung: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.
ISSN:2158-3188
2158-3188
DOI:10.1038/s41398-020-01039-2