Rahman Md Hafizur, Banik Goutom, Ahmed Anisuddin, Arifeen Shams El, Hossain Aniqa Tasnim, Hasan Md Aminul, Rahman Ahmed Ehsanur
Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare (MoHFW), Dhaka, Bangladesh.
Health Psychol Open. 2021 Oct 9;8(2):20551029211046106. doi: 10.1177/20551029211046106. eCollection 2021 Jul-Dec.
The COVID-19 pandemic can impose a profound impact on the mental health of hospitalised patients infected with SARS-CoV-2. However, there have been no studies that explored the psychological distress of the COVID-19 inpatients in Bangladesh. Therefore, this study aimed to assess the prevalence of anxiety and depressive symptoms and explore the associated factors among inpatients with COVID-19. A cross-sectional study was conducted among 138 COVID-19 patients admitted to three isolation facilities in Dhaka, Bangladesh, from September to October 2020. Participants' sociodemographic and clinical data were obtained. Mental health symptoms were evaluated with the Hospital Anxiety and Depression Scale (HADS). Descriptive statistics, bivariate and multivariate logistic regression models were performed to analyse the data. The prevalence of anxiety and depressive symptoms were 57.2% (95% CI: 48.2-65.2) and 52.2% (95% CI: 43.8-62.7), respectively. Presence of comorbidity (aOR: 5.64, 95% CI: 2.21-14.35) and having ≥3 COVID-19 physical symptoms (aOR: 6.90, 95% CI: 2.71-17.56) were associated with anxiety symptoms. Besides, presence of comorbidity (aOR: 2.73, 95% CI: 1.07-6.99), having ≥3 COVID-19 physical symptoms (aOR: 4.46, 95% CI: 1.78-11.20) and patient with ≤93% oxygen saturation (aOR: 2.33, 95% CI: 1.01-5.36) were associated with depressive symptoms. Considerable numbers of COVID-19 patients in Bangladesh experienced psychological distress during hospitalisation, requiring more attention and timely mental health interventions.
新冠疫情可能会对感染新冠病毒的住院患者的心理健康产生深远影响。然而，尚无研究探讨孟加拉国新冠住院患者的心理困扰情况。因此，本研究旨在评估新冠住院患者焦虑和抑郁症状的患病率，并探究相关因素。2020年9月至10月，在孟加拉国达卡的三个隔离设施中对138名新冠患者进行了一项横断面研究。获取了参与者的社会人口统计学和临床数据。使用医院焦虑抑郁量表（HADS）评估心理健康症状。进行描述性统计、双变量和多变量逻辑回归模型分析数据。焦虑和抑郁症状的患病率分别为57.2%（95%置信区间：48.2 - 65.2）和52.2%（95%置信区间：43.8 - 62.7）。合并症的存在（调整后比值比：5.64，95%置信区间：2.21 - 14.35）和出现≥3种新冠身体症状（调整后比值比：6.90，95%置信区间：2.71 - 17.56）与焦虑症状相关。此外，合并症的存在（调整后比值比：2.73，95%置信区间：1.07 - 6.99）、出现≥3种新冠身体症状（调整后比值比：4.46，95%置信区间：1.78 - 11.20）以及血氧饱和度≤93%的患者（调整后比值比：2.33，95%置信区间：1.01 - 5.36）与抑郁症状相关。孟加拉国相当数量的新冠患者在住院期间经历了心理困扰，需要更多关注和及时的心理健康干预。
