A prospective study of the effect of COVID-19 on psychiatric symptoms and sleep problems from infection to 9-month follow-up.

Autor: El-Morshedy RM; Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University, Asyût, Egypt., El-Kholy MM; Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University, Asyût, Egypt., Khedr EM; Department of Neurology and Psychiatry, Faculty of Medicine, Assiut University, Asyût, Egypt., Ahmed GK; Department of Neurology and Psychiatry, Faculty of Medicine, Assiut University, Asyût, Egypt. gillankaram@aun.edu.eg., Yassin E; Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University, Asyût, Egypt., Mohamed MN; Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University, Asyût, Egypt.
Jazyk: angličtina
Zdroj: European archives of psychiatry and clinical neuroscience [Eur Arch Psychiatry Clin Neurosci] 2024 Jan 28. Date of Electronic Publication: 2024 Jan 28.
DOI: 10.1007/s00406-023-01755-y
Abstrakt: Diverse psychological consequences of the COVID-19 pandemic have been reported for 6 months after infection. We conducted a prospective study to evaluate the psychological impact of COVID-19 infection in newly diagnosed cases that were followed up at 1, 6, and 9 months after infection. 137 people were recruited and divided into four groups based on the COVID-19 Treatment Guidelines. They were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Post-traumatic stress disorder Checklist for DSM-5 (PCL-5), and Symptom Checklist 90 (SCL-90). We found that 9 months after infection, patients continued to report poor sleep (74.5%), PTSD (78.3%), somatization (17%), anxiety (17%), aggression (5.7%), phobic anxiety (4.7%), psychoticism (1.9%), paranoid (3.8%), and obsessive-compulsive (9.4%) symptoms, as well as depression and interpersonal sensitivity. The most significant risk factors for psychiatric complications were older age, level of education, smoking, hospitalization duration, hypertension, and critical severity. The negative mental health effects of COVID-19 persist after hospital discharge, and many patients continue to experience moderate-to-severe issues that may endure for 9 months. Notably, there was a progressive improvement in these symptoms over that time.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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