Samrah Shaher M, Al-Mistarehi Abdel-Hameed, Aleshawi Abdelwahab J, Khasawneh Aws G, Momany Suleiman M, Momany Baker S, Abu Za'nouneh Faris J, Keelani Thekra, Alshorman Abrar, Khassawneh Basheer Y
Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology (JUST), Irbid, Jordan.
Department of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology (JUST), Irbid, Jordan.
Psychol Res Behav Manag. 2020 Oct 6;13:823-830. doi: 10.2147/PRBM.S267459. eCollection 2020.
In-hospital mandatory quarantine of asymptomatic and symptomatic COVID-19-infected individuals was part of the national control strategy used to prevent the spread of the COVID-19 outbreak in Jordan. This study aims to evaluate depression, associated stressors, and various coping methods used among adult quarantined COVID-19-infected individuals.
This cross-sectional study included all COVID-19-infected individuals who were obligatorily quarantined at King Abdullah University Hospital, Irbid, Jordan from March 15 to April 20, 2020. Symptoms of depression were assessed using the 9-item Patient Health Questionnaire after 10 days of quarantine. In addition, several questions regarding the patients' sights with the health-care system, and coping methods were added. Demographic characteristics, clinical presentation, and comorbidities were collected from the medical records.
Out of 91 quarantined COVID-19 patients, a total of 66 completed the survey, with a participation rate of 72.5%. The majority were relatively young; the mean ± SD age was 35.8 ± 16.2 years (range 18-79), 59.1% were females and 47% were asymptomatic. A considerable proportion of patients (44%) reported symptoms of depression, with 21% were at high risk of major depressive disorder. Depression symptoms were significantly more common among females than males [PHQ-9 score ≥10: 13 (92.9%) vs 1 (7.1%), respectively; =0.004]. The majority of patients (71.2%) reported having problems with health-care services. Insufficient involvement in making treatment decisions was the most commonly reported concern (59.1%). Patients who reported problems in maintaining privacy, reaching out to their physicians, or receiving conflicting information from the medical staff, had more symptoms of depression compared with the satisfied ones (<0.05). On the other hand, those who were receiving sufficient support from the family, friends, or medical staff during quarantine, were less likely to have depression symptoms (<0.05). Furthermore, symptoms of depression were less in patients who stayed in touch with others using phone calls, texting, or social media (=0.024).
Symptoms of depression were common among both symptomatic and asymptomatic quarantined COVID-19 patients. The support of family, friends, and medical staff was an essential alleviating factor. Facilitating adequate communication may promote the mental well-being of COVID-19-infected patients and help in reducing the risk of depression during the in-hospital quarantine.
对无症状和有症状的新冠病毒感染者进行院内强制隔离，是约旦用于防控新冠疫情传播的国家防控策略的一部分。本研究旨在评估成年新冠病毒感染隔离者的抑郁情况、相关压力源及所采用的各种应对方式。
这项横断面研究纳入了2020年3月15日至4月20日在约旦伊尔比德阿卜杜拉国王大学医院被强制隔离的所有新冠病毒感染者。隔离10天后，使用9项患者健康问卷评估抑郁症状。此外，还增加了几个关于患者对医疗系统的看法以及应对方式的问题。从病历中收集人口统计学特征、临床表现和合并症信息。
在91名被隔离的新冠患者中，共有66人完成了调查，参与率为72.5%。大多数患者相对年轻；平均年龄±标准差为35.8±16.2岁（范围18 - 79岁），59.1%为女性，47%为无症状感染者。相当一部分患者（44%）报告有抑郁症状，其中21%有患重度抑郁症的高风险。女性的抑郁症状明显比男性更常见[患者健康问卷 - 9得分≥10：分别为13例（92.9%）和1例（7.1%）；P = 0.004]。大多数患者（71.2%）报告在医疗服务方面存在问题。在治疗决策中参与不足是最常被提及的问题（59.1%）。与满意的患者相比，那些报告在隐私保护、联系医生或从医护人员处获得相互矛盾信息方面存在问题的患者，抑郁症状更多（P < 0.05）。另一方面，在隔离期间从家人、朋友或医护人员那里获得足够支持的患者，出现抑郁症状的可能性较小（P < 0.05）。此外，通过电话、短信或社交媒体与他人保持联系的患者抑郁症状较少（P = 0.024）。
有症状和无症状的新冠病毒感染隔离患者中抑郁症状都很常见。家人、朋友和医护人员的支持是一个重要的缓解因素。促进充分的沟通可能会促进新冠病毒感染患者的心理健康，并有助于降低院内隔离期间的抑郁风险。
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