1. Trajectories of post-traumatic stress symptoms, anxiety, and depression in hospitalized COVID-19 patients: A one-month follow-up.
- Author
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Matalon N, Dorman-Ilan S, Hasson-Ohayon I, Hertz-Palmor N, Shani S, Basel D, Gross R, Chen W, Abramovich A, Afek A, Ziv A, Kreiss Y, Pessach IM, and Gothelf D
- Subjects
- Adult, Anxiety complications, COVID-19 complications, Depression complications, Female, Follow-Up Studies, Humans, Israel epidemiology, Male, Middle Aged, Pandemics, Risk Factors, SARS-CoV-2, Stress Disorders, Post-Traumatic complications, Symptom Assessment, Anxiety psychology, COVID-19 psychology, Depression psychology, Hospitalization, Inpatients psychology, Stress Disorders, Post-Traumatic psychology
- Abstract
Objectives: Little is known about the mental health outcomes of hospitalized COVID-19 patients. The aims of the study were: (1) to examine the trajectories of anxiety, depression, and pandemic-related stress factors (PRSF) of COVID-19 hospitalized patients one-month following hospitalization; (2) to assess the presence of post-traumatic stress symptoms (PTSS) a month after hospitalization; (3) to identify baseline risk and protective factors that would predict PTSS one month after hospitalization., Methods: We contacted hospitalized COVID-19 patients (n = 64) by phone, at three time-points: during the first days after admission to the hospital (T1); after ~two weeks from the beginning of hospitalization (T2), and one month after hospitalization (T3). At all time-points we assessed the levels of anxiety and depression symptoms, as well as PRSF. At T3, PTSS were assessed., Results: The levels of depressive and anxiety symptoms decreased one-month following hospitalization. Moreover, higher levels of anxiety (standardized β = 1.15, 95% CI = 0.81-1.49, p < 0.001) and depression (β = 0.97, 95% CI = 0.63-1.31 p < 0.001) symptoms during the first week of hospitalization, feeling socially disconnected (β = 0.59, 95% CI = 0.37-0.81 p < 0.001) and experiencing a longer hospitalization period (β = 0.25, 95% CI = 0.03-0.47 p = 0.026) predicted higher PTSS scores a month post-hospitalization., Conclusions: We identified early hospitalization risk factors for the development of PTSS one month after hospitalization that should be targeted to reduce the risk for PTSS., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2021
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