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Prevalence and Risk Factors for Post-Traumatic Stress in Hospitalized and Non-Hospitalized COVID-19 Patients.
Einvik, Gunnar; Dammen, Toril; Ghanima, Waleed; Heir, Trond; Stavem, Knut.
  • Einvik G; Pulmonary Department, Akershus University Hospital, 1478 Lørenskog, Norway.
  • Dammen T; Institute of Clinical Medicine, University of Oslo, 0450 Oslo, Norway.
  • Ghanima W; Department of Behavioral Medicine, Institute of Basic Medical Sciences, University of Oslo, 0317 Oslo, Norway.
  • Heir T; Institute of Clinical Medicine, University of Oslo, 0450 Oslo, Norway.
  • Stavem K; Haematology and Oncology, Østfold Hospital Trust Kalnes, 1714 Grålum, Norway.
Int J Environ Res Public Health ; 18(4)2021 02 20.
Article in English | MEDLINE | ID: covidwho-1090339
ABSTRACT
This population-based study assessed the prevalence and determinants of symptom-defined post-traumatic stress disorder (PTSD) in a cohort of hospitalized and non-hospitalized patients about 1.5-6 months after their COVID-19 onset. The data were acquired from two mixed postal/web surveys in June-September 2020 from patients all aged ≥18 years with a positive polymerase chain reaction for severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) until 1 June 2020, comprising both hospitalized and non-hospitalized subjects. The catchment areas of the two included hospitals covers about 17% of the population of Norway. In total, 211 hospitalized and 938 non-hospitalized subjects received invitation. The prevalence of symptom-defined PTSD was assessed using the PTSD checklist for DSM-5 (PCL-5). Determinants of symptom-defined PTSD and PTSD symptoms were analyzed using multivariable logistic and linear regression analysis. In total, 583 (51%) subjects responded at median 116 (range 41-200) days after COVID-19 onset. The prevalence of symptom-defined PTSD was 9.5% in hospitalized and 7.0% in non-hospitalized subjects (p = 0.80). Female sex, born outside of Norway, and dyspnea during COVID-19 were risk factors for persistent PTSD symptoms. In non-hospitalized subjects, previous depression and COVID-19 symptom load were also associated with persistent PTSD symptoms. In conclusion, COVID-19 symptom load, but not hospitalization, was associated with symptom-defined PTSD and PTSD symptom severity.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18042079

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18042079