Chakrabarti Sudakshina
Department of Anatomy, Saveetha Medical College and Hospital, Chennai, India.
J Multidiscip Healthc. 2021 Oct 4;14:2777-2789. doi: 10.2147/JMDH.S330812. eCollection 2021.
Covid 19 lockdown measures were taken all of a sudden during the devastating second wave in India, when there was a considerable loss and suffering in the country. The coronavirus disease 2019 (COVID 19) pandemic has led to unprecedented hazards to mental well-being globally.
To assess the prevalence and evaluate risk factors of depression, insomnia or sleep disturbances and suicidal ideation among covid 19 positive patients admitted in covid wards with mild-to-moderate disease.
A total of 635 hospitalised patients who were covid-19 positive were requested to fill an online quality of life pre-validated questionnaire comprising of 4 sections - the sociodemographic information section, health care assessment related to depression symptoms, insomnia assessment and assessment of suicidal ideation. The survey comprised of pre-validated questions on sociodemographics, knowledge of covid 19, fear of covid 19, insomnia, feeling of sadness, depression, feeling of rejection and suicidal ideation among the covid 19 positive inpatients in quarantine due to mild or moderate covid 19 disease.
The prevalence of depression and insomnia or sleep disturbances after being diagnosed as covid 19 positive and hospitalized was nearly 40% and 28.8%, respectively, among the inpatients. Depression was significantly observed in female group (p < 0.001), unmarried or separated individuals (p < 0.001), housewives (p < 0.001) and patients with comorbidities (p < 0.001). Insomnia was more likely to be present in elderly covid positive patients (p < 0.001) and separated or divorced group of participants (p < 0.001). The prevalence of suicidal ideation was 5% of the total covid 19 positive patients participated in this study, and it was significantly observed among separated or divorced patients, cancer patients, patients from suburban residence and among graduates (p < 0.001).
Covid 19 is associated with major psychological impact among the patients suffering from thus warrants counselling.
在印度毁灭性的第二波疫情期间，突然实施了新冠疫情封锁措施，当时该国遭受了巨大损失和痛苦。2019年冠状病毒病（COVID - 19）大流行给全球心理健康带来了前所未有的危害。
评估入住新冠病房的轻症至中症COVID - 19阳性患者中抑郁症、失眠或睡眠障碍以及自杀意念的患病率，并评估其风险因素。
共邀请635名COVID - 19阳性住院患者填写一份经过预验证的在线生活质量问卷，该问卷包括4个部分——社会人口学信息部分、与抑郁症状相关的医疗保健评估、失眠评估和自杀意念评估。该调查包括关于社会人口学、对COVID - 19的了解、对COVID - 19的恐惧、失眠、悲伤感、抑郁、被排斥感以及因轻症或中症COVID - 19疾病而处于隔离状态的COVID - 19阳性住院患者的自杀意念的预验证问题。
在住院患者中，被诊断为COVID - 19阳性并住院后，抑郁症和失眠或睡眠障碍的患病率分别约为40%和28.8%。在女性组（p < 0.001）、未婚或分居者（p < 0.001）、家庭主妇（p < 0.001）和患有合并症的患者（p < 0.001）中，抑郁症的发生率显著较高。失眠在老年COVID阳性患者（p < 0.001）以及分居或离婚的参与者组中（p < 0.001）更易出现。自杀意念的患病率在参与本研究的所有COVID - 19阳性患者中为5%，在分居或离婚患者、癌症患者、郊区居民患者以及毕业生中显著较高（p < 0.001）。
COVID - 19对患者有重大心理影响，因此需要进行心理咨询。
