Psychological impact on COVID-19 patients during the outbreak in China: A case-control study

PSYCHIATRY RESEARCH

卷:305

Article

Lu, Xuanzhen¹  Xie, Yu¹  Feng, Hongliang²  Liu, Zhenxing¹  Ouyang, Keni¹  Hou, Botong¹  Wang, Meiyao³  Kong, Zhaohong⁴  Zhu, Zhiyi⁵  Dao, Wenxin⁶  Zhou, You¹  Cao, Jing¹  Long, Jian⁷  Xu, Yan¹  Liu, Yumin¹  Yin, Xiaoxin⁸ 

[1] Wuhan Univ, Dept Neurol, Zhongnan Hosp, Wuhan, Hubei, Peoples R China

[2] Chinese Univ Hong Kong, Sleep Assessment Unit, Dept Psychiat, Fac Med,Shatin, Hong Kong, Peoples R China

[3] Wuhan Univ, Dept Ultrasonog, Zhongnan Hosp, Wuhan, Hubei, Peoples R China

[4] Wuhan Univ, Dept Neurol, Renmin Hosp, Wuhan, Hubei, Peoples R China

[5] Hubei Maternal & Child Hlth Hosp, Dept Dent, Wuhan, Peoples R China

[6] Wuhan Univ, Dept Emergency, Renmin Hosp, Wuhan, Hubei, Peoples R China

[7] Jingmen 2 Peoples Hosp, Vasc Intervent Dept, Jingmen, Hubei, Peoples R China

[8] Hanyang Hosp Wuhan, Dept Neurol, Wuhan, Hubei, Peoples R China

关键词: COVID-19;    Outbreak;    Patients;    Psychological;    China;   

DOI  :  10.1016/j.psychres.2021.114180

来源: Elsevier

【 摘 要 】

Background: The coronavirus disease 2019 (COVID-19) has caused widespread panic due to its highly infectious and pandemic transmission. We aimed to evaluate the psychological impact of the COVID-19 outbreak on infected subjects in China. Methods: This case-control, survey-based study assessed the psychological status of COVID-19 patients and noninfected controls from February 10 to March 18, 2020, in China. Sex, age, education years, marital status, jobs, annual household income, living status, and geographic origin were matched between the two groups. The main outcome measures included anxiety, depression, insomnia, help-seeking behaviors, and treatment for mental problems. Results: A total of 326 patients and 1304 (1:4 ratio) matched non-infected controls were enrolled. Compared with controls, patients had higher scores on the Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ9), and Insomnia Severity Index (ISI) (all p<0.01). Patients had higher rate of any mental problems (62.6% vs 42.5%, p<0.01), anxiety (27.3% vs 12.2%, p<0.01), depression (26.7% vs 14.6%, p<0.01), suicidal ideation (16.0% vs 10.7%, p<0.01), and insomnia (57.7% vs 36.7%, p<0.01). Among the subjects with mental problems, the proportion of seeking help (15.2% vs 6.9%, p<0.01) and receiving treatment (11.3% vs 4.3%, p<0.01) was higher in patients than controls. Conclusions: Our study showed a higher prevalence of mental problems in COVID-19 patients compared to controls, suggesting a great psychological impact of COVID-19 infection. Our findings highlighted the urgent need for psychological assistance for COVID-19 patients.

【 授权许可】

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