Acute Period Psychiatric Effects of COVID-19 in Hospitalized Patients: A Retrospective Investigation.

Although it is known that COVID-19 has a serious impact on mental health, there are few studies on the acute period complications in hospitalized patients. In this study, it has been aimed to evaluate the reason for asking for consultation, prevalence of psychiatric disease and recommended psychiatric interventions, in COVID-19 infected patients who were consulted to consultation liaison psychiatry. This study has been conducted by retrospectively examining the psychiatric consultation reports of 138 patients who were hospitalized for COVID-19 in a university hospital in Turkey between March 2020 and October 2021. Patients' data were obtained from electronic medical records. According to the results of the analysis, the reasons for requesting a consultation were insomnia (26.22%), anxiety/fear of death (20.76%), agitation (17.48%), and hallucinations/fluctuation in consciousness (11.47%), respectively. The most common psychiatric diagnoses were delirium and sleep disorders (22.5%), these were followed respectively by adjustment disorder (11.6%), anxiety (10.9%) and depression (3.6%). Medical treatment was recommended for 85.5% of the patients, and haloperidol was the most frequently recommended agent. 44.1% of the patients treated in the intensive care unit were diagnosed with delirium and their age was higher. Advanced age caused an increase in delirium and death rates. These findings indicate that psychiatric morbidities and delirium are common among COVID-19 patients, and the need for consultation-liaison services may increase during the pandemic. (English) [ FROM AUTHOR] COVID-19'un ruh sağlığında ciddi etkilenme yarattığı bilinmesine rağmen, yatarak tedavi gören hastalardaki akut dönem komplikasyonlar hakkında az sayıda araştırma vardır. Bu çalışmada, konsültasyon liyezon psikiyatrisine danışılan COVID-19 enfekte hastalarda konsültasyon istenme nedeni, psikiyatrik hastalık yaygınlığı ve önerilen psikiyatrik müdahalelerin değerlendirilmesi amaçlanmıştır. Çalışma, Türkiye'de bir üniversite hastanesinde, Mart 2020-Ekim 2021 tarihleri arasında, COVID-19 nedeniyle yatarak tedavi gören 138 hastaya ait psikiyatrik konsültasyon raporlarının geriye doğru incelenmesiyle yürütülmüştür. Hastalara ait veriler elektronik tıbbi kayıtlardan elde edilmiştir. Yapılan analiz sonuçlarına göre, konsültasyon istenme nedenleri sırasıyla uykusuzluk (%26.22), kaygı/ölüm korkusu (%20.76), ajitasyon (%17.48) ve halüsinasyon/bilinçte dalgalanma (%11.47) idi. En sık konulan psikiyatrik tanılar deliryum ve uyku bozuklukları (%22.5) idi, bunları sırasıyla uyum bozukluğu (%11.6), anksiyete (%10.9) ve depresyon (%3.6) izliyordu. Hastaların % 85.5'ine medikal tedavi önerilmişti ve haloperidol en sık önerilen ajandı. Yoğun bakımda tedavi gören hastaların %44.1'i deliryum tanısı almıştı ve bunların yaşları daha yüksekti. Íleri yaş, deliryum ve ölüm oranlarında artışa neden olmuştu. Bu bulgular, COVID-19 hastaları arasında psikiyatrik morbiditelerin ve deliryumun yaygın olduğuna, pandemisi sırasında konsültasyon-liyezon hizmetlerine olan ihtiyacın artabileceğine işaret etmektedir. (Turkish) [ FROM AUTHOR] Copyright of Journal of Inonu University Health Services Vocational School is the property of Inonu Universitesi Saglik Hizmetleri Meslek Yuksekokulu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Assessment of Psychological Responses and Related Factors of Discharged Patients Who Have Been Hospitalized with COVID-19.

BACKGROUND: COVID-19 is the biggest pandemic of the last century. While a large number of cases and mortality rates direct the research to the clinic and prognosis of the disease, the mental health of these patients has recently become a matter of concern. This study aims to predict psychiatric morbidity and possible associated markers in COVID-19 survivors. SUBJECTS AND METHODS: A total of 102 survivors with COVID-19 infection participated in this study. A questionnaire was applied to the participants to evaluate demographic variables, history of comorbid diseases, smoking, loss of a relative due to COVID-19, and environmental attitudes after the discharge. Length of hospitalization, lung findings, intensive care history and treatments were recorded. Psychiatric morbidities were evaluated with General Anxiety Disorder-7, Patient Health Questionnaire-9 and The National Stressful Events Survey PTSD Short Scale. RESULTS: Anxiety was found in 20.6%, depression in 13.7% based on moderate and above levels, 21.6% had significant PTSD. Female gender, history of psychiatric and comorbid diseases, smoking, perceived discrimination, and lack of long-lasting immunity posed a risk in terms of psychological response. There was a negative correlation between age and depression scores. No relation was found between the duration of hospitalization, presence of lung involvement, receiving intensive care treatment, losing a relative due to COVID-19 and psychological response. CONCLUSIONS: On patients treated for COVID-19 infection, psychological response continue after discharge. Mental health support and efforts to reduce stigma among infected subjects can reduce the psychological impact caused by the pandemic.

Prevalence and predictors of psychological response during immediate COVID-19 pandemic.

AIM: COVID-19 pandemic has created a serious psychological impact worldwide since it has been declared. This study aims to investigate the level of psychological impacts of the COVID-19 pandemic on the Turkish population and to determine related factors. METHODS: The study was carried out by an online questionnaire using the virtual snowball sampling method. The sociodemographic data were collected on the following subjects: participants' experience on any signs of infection within the last month, the history of COVID-19 contact-treatment-quarantine, level of compliance with precautionary measures, the sources of information and level of knowledge about the pandemic process and their belief levels on the knowledge they acquire. Besides, the questions that take place in the Depression, Anxiety and Stress Scale-21 (DASS-21), and Impact of Events Scale-Revised (IES-R) were asked to participants. RESULTS: Of the 3549 participants, anxiety was found in 15.8%, depression in 22.6%, stress in 12.9%, and psychological trauma in 20.29% based on moderate and above levels. Female gender, young age, higher education level, being single, high monthly income, presence of psychiatric illness, a large number of people living together, having any signs of infection, and contact history with COVID-19 infected person or contaminated object are identified as risk factors that may increase psychological impact. Compliance with the rules was found to reduce the risk of psychological response. CONCLUSIONS: The risk factors for the psychological impact of the COVID-19 pandemic, and acknowledging these factors can help to formulate the interventions to reduce the stress levels of the population.

The role of physical activity on mental health and quality of life during COVID-19 outbreak: A cross-sectional study.

INTRODUCTION: The COVID-19 pandemic has placed restrictions on people's physical activities. The aim of this study was to evaluate the physical activity levels of individuals and assess the effects of physical activity on quality of life, depression and anxiety levels during the COVID-19 outbreak. METHODS: This cross-sectional study were included 2301 participants aged 20-75 years. The data were collected through the Google Forms web survey platform by the virtual snowball sampling method. In the multivariate analysis, the independent predictors were analyzed using possible factors identified in previous analyses by multinomial logistic regression analysis. Hosmer-Lemeshow and Omnibus tests were used to evaluate the logistic regression model and coefficients. RESULTS: The mean weekly energy consumption of the participants was 875±1588 MET-min, and only 6.9% were physically active enough to maintain their health. There was a weak positive relationship between physical activity levels and quality of life, while there was a weak negative relationship between physical activity levels, depression and anxiety (p<0.05). In the multinomial logistic regression model established for comparison of physically active and inactive participants, general health status and physical health status variables were statistically significant (p<0.05). However, relationships between psychological status, social relationships and environment scores, Beck Depression and Beck Anxiety Inventory scores were not statistically significant (p>0.05). CONCLUSIONS: Results showed that physical activity programs should be included in guidelines as an integrative approach to pandemic management. During COVID-19 outbreak, community-based rehabilitation programs are needed, and these programs should be carried out in cooperation with community stakeholders.