TY - JOUR PY - 2021// TI - Associations between CoViD-19 symptoms and psychological distress JO - Frontiers in psychiatry A1 - Kim, Ju-Wan A1 - Kang, Hee-Ju A1 - Jhon, Min A1 - Ryu, Seunghyong A1 - Lee, Ju-Yeon A1 - Kang, Seung-Ji A1 - Jung, Sook-In A1 - Shin, Il-Seon A1 - Kim, Sung-Wan A1 - Stewart, Robert A1 - Kim, Jae-Min SP - 721532 EP - 721532 VL - 12 IS - N2 - BACKGROUND: Hospital isolation for COVID-19 may cause significant psychological stress. The association between COVID-19 symptoms and psychological symptoms has not been systematically studied. We investigated the effects of telephonic intervention on the relationship between psychological symptoms and COVID-19 symptoms at the time of hospitalization and 1 week later.

METHOD: We screened 461 patients with COVID-19 for psychiatric symptoms from February 29, 2020, to January 3, 2021. In total, 461 patients were evaluated 2 days after admission, and 322 (69.8%) were followed 1 week later. To assess anxiety and depressive symptoms, the Hospital Anxiety and Depression Scale (HADS) was administered to patients once per week. The Insomnia Severity Index (ISI) and item 9 of the Beck Depression Inventory (BDI-9) were used weekly to assess insomnia and suicidal ideation.

RESULTS: Of 461 enrolled patients, we observed clinically meaningful psychological anxiety symptoms (in 75/16.3% of patients), depression (122/26.5%), insomnia (154/33.4%), and suicidal ideation (54/11.7%). Commonly reported COVID-19 symptoms are cough/sputum/sneezing (244, 52.9%), headache/dizziness (98, 21.3%), myalgia (113, 24.5%), and sore throat (89, 19.3%). Compared to baseline, significant improvements were found in anxiety, depression, and suicidal ideation at 1 week. No significant group differences in ISI score were observed.

CONCLUSIONS: COVID-19 symptoms at baseline had a significant and persistent negative impact on anxiety and depression at admission and at 1 week after hospitalization. Early intervention is essential to improve the outcomes of patients with mental illness.

Language: en

LA - en SN - 1664-0640 UR - http://dx.doi.org/10.3389/fpsyt.2021.721532 ID - ref1 ER -