Department of Child and Family Psychiatry, King Edward Medical University/Mayo Hospital, Lahore, Pakistan.
Academic Department of Psychiatry and Behavioural Sciences, King Edward Medical University/Mayo Hospital, Lahore, Pakistan.
East Mediterr Health J. 2022 Jan 31;28(1):5-13. doi: 10.26719/emhj.21.062.
Adverse psychological effects have been associated with COVID-19-related disease containment measures, but little is known about the psychiatric symptoms and distress.
This study aimed to explore and understand the psychiatric symptoms and distress in suspected or confirmed COVID-19 patients isolated and quarantined in hospital.
A mixed methods study was conducted in the COVID-19 units of Mayo Hospital, Lahore, Pakistan; 114 out of 160 adult patients were assessed by telephone using validated scales (Stress Reactions and Adjustment Disorder Checklist, 9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Scale and Insomnia Severity Index) and a few open-ended questions about expectations and anticipated areas of need during hospitalization, including experiences with isolation.
The prevalence of adjustment disorder, acute stress disorder, anxiety, depressive symptoms and insomnia was 67.5%, 3.5%, 16.7%, 18.4%, and 29.8% respectively. One male patient tried to commit suicide during the study period. Fear, anger, low mood, anxiety and sleep disturbances were the most notable psychological consequences in qualitative the responses. Inadequate communication, poor ward facilities, concerns about the health of family members and financial problems were the most commonly identified factors leading to distress.
Our results show alarmingly high levels of stress-related symptoms - insomnia, depression and anxiety - among COVID-19 confirmed or suspected hospitalized patients. There is a need to incorporate psychological services in the acute phase of illness for prompt recognition and management of psychiatric problems.
与 COVID-19 相关的疾病控制措施相关联的负面心理影响，但对精神科症状和痛苦知之甚少。
本研究旨在探讨和了解疑似或确诊 COVID-19 患者在医院隔离和检疫时的精神科症状和痛苦。
在巴基斯坦拉合尔的 Mayo 医院的 COVID-19 病房进行了一项混合方法研究；通过电话使用经过验证的量表（应激反应和适应障碍检查表、9 项患者健康问卷、7 项广泛性焦虑症量表和失眠严重程度指数）评估了 160 名成年患者中的 114 名，以及一些关于住院期间期望和预期需求领域的开放性问题，包括隔离经历。
适应障碍、急性应激障碍、焦虑、抑郁症状和失眠的患病率分别为 67.5%、3.5%、16.7%、18.4%和 29.8%。在研究期间，有一名男性患者试图自杀。在定性反应中，最明显的心理后果是恐惧、愤怒、情绪低落、焦虑和睡眠障碍。沟通不足、病房设施差、对家庭成员健康的担忧和经济问题是导致痛苦的最常见因素。
我们的结果表明，COVID-19 确诊或疑似住院患者的应激相关症状（失眠、抑郁和焦虑）水平高得令人震惊。需要在疾病的急性期纳入心理服务，以便及时识别和管理精神问题。
