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The impact of COVID-19-related quarantine on psychological outcomes in patients after cardiac intervention: a multicenter longitudinal study.
Patron, Elisabetta; Messerotti Benvenuti, Simone; Ponchia, Andrea; Del Piccolo, Franco; Gentili, Claudio; Palomba, Daniela.
  • Patron E; Department of General Psychology, University of Padua, Padua, Italy. elisabetta.patron@unipd.it.
  • Messerotti Benvenuti S; Department of General Psychology, University of Padua, Padua, Italy.
  • Ponchia A; Padova Neuroscience Center (PNC), University of Padua, Padua, Italy.
  • Del Piccolo F; Unit of Cardiac Rehabilitation, ULSS 6 Euganea, Padua, Italy.
  • Gentili C; Unit of Cardiac Rehabilitation, San Marco Hospital, Venice, Italy.
  • Palomba D; Department of General Psychology, University of Padua, Padua, Italy.
Transl Psychiatry ; 12(1): 235, 2022 06 06.
Article in English | MEDLINE | ID: covidwho-1878519
ABSTRACT
Mandatory quarantine during the COVID-19 pandemic had substantial negative consequences on psychological health in the general population. Depression, anxiety, and insomnia were reported to increase the morbidity and mortality risk in cardiac patients after cardiac interventions. Nonetheless, a gap in the evidence appeared regarding the effects of COVID-19-related quarantine on psychological outcomes in patients after cardiac interventions. The present study aimed to longitudinally investigate the effects of quarantine on depressive, anxiety, and insomnia symptoms in a group of patients who underwent cardiac intervention. Seventy-three patients admitted for cardiac rehabilitation completed a psychological assessment before and a reassessment after the quarantine and were included in the quarantine group. The control group included 76 patients who completed both evaluations before the quarantine. Depressive (Beck Depression Inventory-II; BDI-II), anxiety (Beck Anxiety Inventory-II; BAI), and insomnia (Sleep Condition Indicator; SCI) symptoms were evaluated in both groups at one (assessment) and eight (reassessment) months after cardiac intervention. The statistical analyses revealed that at reassessment, the quarantine group showed higher global depressive, anxiety, and insomnia symptoms than the control group and increased cognitive symptoms of depression. A higher presence of clinically relevant depressed patients was seen in the quarantine group. The present results showed that the COVID-19-related mandatory quarantine negatively affected psychological outcomes in patients after cardiac intervention, increasing the probability for these patients to be depressed. This, in turn, could influence patients' health in a critical period for morbidity and mortality risk. This underlines the priority of integrating and improving targeted mental health support as the pandemic continues, especially for cardiac patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Transl Psychiatry Year: 2022 Document Type: Article Affiliation country: S41398-022-01984-0

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Transl Psychiatry Year: 2022 Document Type: Article Affiliation country: S41398-022-01984-0