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Acute psychological impact on COVID-19 patients in Hubei: a multicenter observational study

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单位: [1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Neurol & Psychiat,Wuhan 430030,Peoples R China [2]Wuhan 9 Hosp, Wuhan 430030, Peoples R China [3]Hubei Prov Hosp Integrated Chinese & Western Med, Wuhan 430015, Peoples R China [4]Wuhan Brain Hosp, Gen Hosp Yangtze River Shipping, Wuhan 430000, Peoples R China [5]Peoples Liberat Army Gen Hosp Cent Theatre Comman, Wuhan 430000, Peoples R China [6]Jianghan Univ Hosp, Wuhan 430015, Peoples R China [7]Huazhong Univ Sci & Technol, Tongji Med Coll, Liyuan Hosp, Wuhan 430077, Peoples R China [8]Second Hosp Huangshi, Wuhan 430000, Hubei, Peoples R China [9]Wuhan Red Cross Hosp, Wuhan 430015, Peoples R China [10]Huanggang Cent Hosp, Wuhan 438000, Peoples R China [11]Third Peoples Hosp Hubei Prov, Wuhan 430022, Peoples R China [12]Yangtze Univ, Clin Med Coll 2, Jingzhou Cent Hosp, Wuhan 430000, Hubei, Peoples R China [13]Cent Hosp Wuhan, Wuhan 430014, Peoples R China [14]Univ Bayreuth, Fac Law Business & Econ, Inst Healthcare Management & Hlth Sci, Bayreuth, Germany [15]Wuhan Britain China Sch, Wuhan 430030, Peoples R China
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We conducted a multicentre cross-sectional survey of COVID-19 patients to evaluate the acute psychological impact on the patients with coronavirus disease 2019 (COVID-19) during isolation treatment based on online questionnaires from 2 February to 5 March 2020. A total of 460 COVID-19 patients from 13 medical centers in Hubei province were investigated for their mental health status using online questionnaires (including Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Patient Health Questionnaire-15, and Insomnia Severity Index scales). Among all 460 COVID-19 patients, 187 (40.65%) of them were healthcare workers (HCWs). 297 (64.57%) of them were females. The most common psychological problems were somatization symptoms (66.09%, n=304), followed by depression (53.48%, n=246), anxiety (46.30%, n=213), problems of insomnia (42.01%, n=171), and then self-mutilating or suicidal thoughts (23.26%, n=107). Of all the patients, 15.65% (n=72) had severe somatization symptoms, and 2.83% (n=13) had severe (almost every day) self-mutilating or suicidal thoughts. The most common psychological problems for HCWs were somatization symptoms (67.84%, n=125), followed by depression (51.87%, n=97), anxiety (44.92%, n=84), problems of insomnia (36.18%, n=55), and then self-mutilating or suicidal thoughts (20.86%, n=39). Patients with lower education levels were found to be associated with higher incidence of self-mutilating or suicidal thoughts (odds ratio [OR], 2.68, 95% confidence interval [95% CI], 1.66-4.33 [P<0.001]). Patients with abnormal body temperature were found to be associated with higher incidence of self-mutilating or suicidal thoughts (OR, 3.97, 95% CI, 2.07-7.63 [P<0.001]), somatic symptoms (OR, 2.06, 95% CI, 1.20-3.55 [P=0.009]) and insomnia (OR, 1.66, 95% CI, 1.04-2.65 [P=0.033]). Those with suspected infected family members displayed a higher prevalence of anxiety than those without infected family members (OR, 1.61, 95% CI, 1.1-2.37 [P=0.015]). Patients at the age of 18-44 years old had fewer somatic symptoms than those aged over 45 years old (OR, 1.91, 95% CI, 1.3-2.81 [P=0.001]). In conclusion, COVID-19 patients tended to have a high prevalence of adverse psychological events. Early identification and intervention should be conducted to avoid extreme events such as self-mutilating or suicidal impulsivity for COVID-19 patients, especially for those with low education levels and females who have undergone divorce or bereavement.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 精神病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 精神病学
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Q1 PSYCHIATRY
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Q1 PSYCHIATRY

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Neurol & Psychiat,Wuhan 430030,Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Neurol & Psychiat,Wuhan 430030,Peoples R China [2]Wuhan 9 Hosp, Wuhan 430030, Peoples R China
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