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City-wide study of laboratory-confirmed COVID-19 cases in San Antonio: An investigation of stressful events accompanying infection and their relation to psychosocial functioning.
Tsai, Jack; Grace, Abigail; North, Carol S; Pietrzak, Robert H; Vazquez, Marilu; Kurian, Anita.
  • Tsai J; School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA; National Center on Homelessness among Veterans, Homeless Programs Office, U.S. Department of Veterans Affairs Central Office, Washington, DC, USA. Electronic address: Jack.Tsai@uth.tmc.edu.
  • Grace A; School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • North CS; Metrocare Services and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
  • Pietrzak RH; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Clinical Neurosciences Division, National Center for Posttraumatic Stress Disorder, U.S. Department of Veterans Affairs, VA Connecticut Healthcare System, West Haven, CT, USA.
  • Vazquez M; School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • Kurian A; San Antonio Metropolitan Health District, City of San Antonio, TX, USA.
Psychiatry Res ; 320: 115012, 2023 02.
Article in English | MEDLINE | ID: covidwho-2165771
ABSTRACT
Little is known about how Coronavirus Disease-2019 (COVID-19) infection is associated with stressful events (SEs) and stress-related psychological symptoms. This study examined the prevalence of SEs and incidence of stress-related symptoms accompanying COVID-19 infection. The association between these stress-related symptoms and psychosocial functioning were also examined. A city-wide sample of 3,595 adults with lab-informed cases of COVID-19 infection in San Antonio, Texas completed an online assessment of their psychological health and well-being after completing contact tracing activities in 2021-2022. A total 88.3% of participants reported exposure to SEs related to COVID-19 infection and their "worst" SEs were related to physical symptoms, fear of infecting others, financial problems, being isolated/quarantined, and loss of a loved one. Based on these SEs, 14.8% of the sample screened positive for substantial stress-related psychological problems related to COVID-19 infection. These psychological symptoms were strongly associated with worse psychosocial functioning. Together, these findings suggest SEs were commonly experienced by adults infected with COVID-19. Only a relatively small proportion reported substantial psychological symptoms related to their infection, but those who did had a high likelihood of impaired psychosocial functioning. Targeted support for individuals at high-risk of psychological symptoms following COVID-19 infection may help mitigate long-term psychological effects.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans Language: English Journal: Psychiatry Res Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans Language: English Journal: Psychiatry Res Year: 2023 Document Type: Article