Kheradmand Ali, Pirsalehi Ali, Mahjani Mahsa, Khoshgoui Banafshe
Department of Psychiatry, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Internal Medicine, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry. 2021 Jul;16(3):362-369. doi: 10.18502/ijps.v16i3.6263.
The recent escalated numbers of subjected COVID-19 patients and mortality rates have alerted the general population and authorities to its effects not only on physical health but also on different aspects of the society such as mental health. This study assesses the general mental health and immediate psychological impacts in hospitalized patients with COVID-19. In this cross-sectional study, 88 patients from two tertiary hospitals in Tehran agreed to complete the surveys. The Impact of Event Scale-Revised (IES-R) and 12 item General Health questionnaire (GHQ-12) were used to evaluate mental health and impact of disease. Epidemiological and sociodemographic information entailing underlying diseases was assess by a researcher-made questionnaire. We found that the psychological impact of the current pandemic is mild to moderate. During the initial phase of the pandemic, the intellectual engagements, inducing post event stress is not yet entirely developed. However, patients had a moderate to high probability of psychiatric morbidity with 63.6% and 28.4%, respectively. The effect of such viral pandemic on mental health is inevitable. As we conducted the study in the dire times of the outbreak, patients showed a high probability of psychiatric morbidity. On the other hand, since the study was done in the initial phase of the epidemic, we detected mild effects of the epidemic on PTSD in COVID-19 patients. Furthermore, several psychosocial protective programs should be implicated to address the mental complications.
近期感染新型冠状病毒肺炎(COVID-19)的患者数量不断攀升,死亡率也持续上升,这不仅让普通民众,也让当局意识到它不仅对身体健康有影响,还对社会的不同方面,如心理健康产生影响。本研究评估了COVID-19住院患者的总体心理健康状况和直接心理影响。
在这项横断面研究中,来自德黑兰两家三级医院的88名患者同意完成调查。使用事件影响量表修订版(IES-R)和12项一般健康问卷(GHQ-12)来评估心理健康状况和疾病影响。通过一份由研究人员制作的问卷收集包括基础疾病在内的流行病学和社会人口统计学信息。
我们发现当前疫情的心理影响为轻度至中度。在疫情初期,引发事件后应激的智力活动尚未完全形成。然而,患者出现精神疾病的概率为中度至高,分别为63.6%和28.4%。
这种病毒性疫情对心理健康的影响是不可避免的。由于我们在疫情爆发的严峻时期进行了这项研究,患者出现精神疾病的概率较高。另一方面,由于研究是在疫情初期进行的,我们发现疫情对COVID-19患者创伤后应激障碍(PTSD)的影响较小。此外,应该实施一些社会心理保护项目来应对心理并发症。