ABSTRACT
Background: COVID-19 pandemic has become one of the central health crises of a generation and has affected people of all nations, continents, races, and socioeconomic groups. No matter how much resources are put aside, the patient are vulnerable to develop psychological and sleep problems due to covid as there is no specific management for covid 19 infection. There could be multiple causes of mental health issues in COVID-19 , ranging from stigma, hospitalization, uncertainty about prognosis, media created fear, lack of social/family support, loneliness, and even feeling of not having last right/rituals after death. AIM: To determine mental health issues among patients being treated for COVID-19 infection. Methods : A random sample of COVID 19 in Era medical college was examined using a cross-sectional design(n=200).Depression was measured using the Patient Health Questionnaire(PHQ-9).Anxiety was assessed using the Beck Anxiety Inventory(BAI).Sleep was evaluated using the Insomnia Severity Index(ISI). Results: 31% of patients were having moderate anxiety symptoms.20% reported of mild depression whereas 62.5% had subthreshold insomnia. Conclusion: COVID-19 has devastating effects within the short time and cause increase in mental health problems in Covid 19 patients. We should learn from this experience that in future, in such exigencies, the mental health services should be geared up to adapt to the emerging situation.
ABSTRACT
Background: In patients with COVID-19, delirium may be presented as direct central nervous system invasion, activation of CNS inflammatory mediators, a secondary effect of other organ system failure, prolonged mechanical ventilation time, or environmental factors, including social isolation. AIM: To study the phenomenology of delirium in patients of COVID infection admitted in Intensive care unit of level 3 COVID hospital. Methods: Forty five patients were included in this study all of whom were diagnosed COVID 19 infection and were admitted in ICU. They had been referred to the psychiatry department for assessment of delirium, and those who screened positive for the same were evaluated by applying delirium assessment instruments, such as the Confusion Assessment Method for the ICU (CAM-ICU), delirium rating scale-R-98 (DRS-R-98) and Richmond agitation sedation scale(RASS). Results: The disturbance in sleep wake cycle(93.3%) was the most frequent and most severely affected symptoms of delirium and delusion(11.1%) was least common symptom of delirium. Conclusion: Delirium appears to be a sequele of events in patients with COVID 19.Although these constellation of symptoms do raise a question about whether the delirium seen in COVID-19 indicates simply a severe systemic illness or whether COVID 19 uniquely target subcortical structures.