Zandifar Atefeh, Badrfam Rahim, Yazdani Shahrooz, Arzaghi Seyed Masoud, Rahimi Fatemeh, Ghasemi Somayeh, Khamisabadi Somayeh, Mohammadian Khonsari Nami, Qorbani Mostafa
Cardiovascular Research Center, Shahid Rajaei Educational & Medical Center, Alborz University of Medical Sciences, Karaj, Iran.
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
J Diabetes Metab Disord. 2020 Oct 29;19(2):1431-1438. doi: 10.1007/s40200-020-00667-1. eCollection 2020 Dec.
COVID-19, a disease that can be transmitted from person to person and with serious health problems, can be associated with mental health disorders. In this study, we evaluated the prevalence and severity of depression, anxiety, stress, and stress perception among a group of patients with COVID-19 who were hospitalized.
In this cross-sectional study, 106 inpatients with COVID-19 who had stable clinical conditions were evaluated psychologically by two questionnaires: Depression, Anxiety and Stress Scales-21 (DASS-21) and Perceived Stress Scale (PSS-4).
More than one third of patients had underlying disease. Overall, 97.2% of patients with COVID-19 had some degree of depression. Severity of depression, according to the DASS questionnaire, was 85.8%. All patients (100%) had severe (0.9%) and very severe (99.1%) anxiety. Regarding to stress levels, 97.1% of patients had some degree of stress. In the severity of stress category, 84.9% of patients had severe and very severe stress. In terms of perceived stress, 73.6% of patients had high levels and 22.6% had moderate levels. A positive strong correlation was found between depression and perceived stress (Coefficient: 0.33, P-value: 0.001). Correlation between anxiety and perceived stress was statistically significant (Coefficient: 0.2, P-value: 0.04).
The existence of such a high prevalence and severity of psychiatric disorders among hospitalized patients with COVID-19 underscores the need for serious attention to the mental health status of these patients. It seems that health policymakers need to have coherent plans for screening cases and managing related situations.
新型冠状病毒肺炎（COVID-19）是一种可人际传播且会引发严重健康问题的疾病，可能与精神健康障碍有关。在本研究中，我们评估了一组住院的COVID-19患者中抑郁、焦虑、压力及压力感知的患病率和严重程度。
在这项横断面研究中，通过两份问卷对106名临床状况稳定的COVID-19住院患者进行心理评估：抑郁、焦虑和压力量表-21（DASS-21）和感知压力量表（PSS-4）。
超过三分之一的患者有基础疾病。总体而言，97.2%的COVID-19患者有一定程度的抑郁。根据DASS问卷，抑郁严重程度为85.8%。所有患者（100%）有重度（0.9%）和极重度（99.1%）焦虑。关于压力水平，97.1%的患者有一定程度的压力。在压力严重程度类别中，84.9%的患者有重度和极重度压力。在感知压力方面，73.6%的患者压力水平高，22.6%的患者压力水平中等。抑郁与感知压力之间存在强正相关（系数：0.33，P值：0.001）。焦虑与感知压力之间的相关性具有统计学意义（系数：0.2，P值：0.04）。
住院的COVID-19患者中精神障碍的高患病率和严重程度凸显了认真关注这些患者心理健康状况的必要性。卫生政策制定者似乎需要制定连贯的计划来筛查病例并处理相关情况。
