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Mental health symptoms and illness trajectory following COVID-19 hospitalization: A cohort study.

Authors :
Lomholt-Welch, Harriet
Morrow, Andrew
Sykes, Robert
Saleh, Merna
Zahra, Baryab
MacIntosh, Alasdair
Kamdar, Anna
Bagot, Catherine
Bayes, Hannah
Blyth, Kevin
Bulluck, Heerajnarain
Carrick, David
Church, Colin
Corcoran, David
Findlay, Iain
Gibson, Vivienne
Gillespie, Lynsey
Grieve, Douglas
Barrientos, Pauline
Ho, Antonia
Source :
Heart & Mind; Oct-Dec2023, Vol. 7 Issue 4, p235-245, 11p
Publication Year :
2023

Abstract

Background: The multisystem associations between baseline mental health status and coronavirus disease-19 (COVID)-19 illness trajectory are uncertain. Objectives: This article will investigate the associations between baseline mental health status and disease trajectory following COVID-19 hospitalization, which may have implications for practice and future research. Methods: The Chief Scientist Office Cardiovascular and Pulmonary Imaging in severe acute respiratory syndrome (SARS) COVID-19 study is a prospective, observational, multicenter, longitudinal, secondary care cohort study that assessed the time-course of multi-organ injury in posthospital survivors of COVID-19. Patients were assessed in-hospital, at 28–60 days after discharge and in the longer term using electronic health record linkage. Results: One hundred and fifty-two patients (mean ± standard deviation [SD] age 54.3 ± 11.8 years, 43% female, 40% most socio-economically deprived quintile, 33% history of mental health history) were enrolled and had mental health serially assessed using the Patient Health Questionnaire-4 (PHQ-4) questionnaire. Fifty-three (35%) had PHQ-4 score of 6–12 consistent with moderate-severe symptoms of anxiety or depression and this was associated with diagnostic criteria for myocarditis (P = 0.0498). Moderate-severe symptoms of anxiety or depression were positively associated with higher perception of illness, lower health-related quality of life (HRQoL), and poorer physical function. The mean (SD) duration of follow-up after hospital discharge was 428 (86) days (range, 290–627 days). PHQ-4 score was not associated with clinical outcomes at follow-up. Conclusions: In patients who have been hospitalized with COVID-19, moderate-severe symptoms of anxiety or depression were associated with myocarditis, worse HRQoL, higher perception of illness, and lower levels of physical function. Public Registration: ClinicalTrials.gov identifier is NCT04403607. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
24686476
Volume :
7
Issue :
4
Database :
Complementary Index
Journal :
Heart & Mind
Publication Type :
Academic Journal
Accession number :
174180618
Full Text :
https://doi.org/10.4103/hm.HM-D-23-00037