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Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit
INTRODUCTION: There is increasing interest in the association between neuropsychiatric symptoms in patients with COVID-19 and the proinflammatory status of the disease. Hospital del Mar Post-Covid Psychiatry Unit carried out a descriptive study to analyze the link between inflammation and mental hea...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434425/ http://dx.doi.org/10.1192/j.eurpsy.2023.878 |
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author | Vargas Puértolas, L. Legido Gil, T. Pechuán Martínez, E. Arroyo Núñez, À. Oller Canet, S. |
author_facet | Vargas Puértolas, L. Legido Gil, T. Pechuán Martínez, E. Arroyo Núñez, À. Oller Canet, S. |
author_sort | Vargas Puértolas, L. |
collection | PubMed |
description | INTRODUCTION: There is increasing interest in the association between neuropsychiatric symptoms in patients with COVID-19 and the proinflammatory status of the disease. Hospital del Mar Post-Covid Psychiatry Unit carried out a descriptive study to analyze the link between inflammation and mental health symptoms in COVID-19 patients. OBJECTIVES: Relate inflammation parameters to the presence of neuropsychiatric symptoms in COVID-19 patients treated at the Hospital del Mar Post-Covid Psychiatry Unit. METHODS: A database of patients evaluated by the Post-covid Psychiatry unit was developed. Clinical variables, whether hospitalization is required and inflammation indicators during COVID-19 infection (PCR and IL-6 analytical values) were recorded. Three screening scales for psychiatric symptoms were given to the patients: PHQ-9 for depression (1-4: minimal depression, 5-9: mild, 10-14: moderate, 15-19: moderately severe, 20-27: severe), GAD-7 for anxiety (cutoff point >=6) and PCL-5 for post-traumatic stress symptoms (cutoff point >6). T-student statistics for independent samples and the pearson correlation were used to relate inflammation parameters to depression, anxiety and post-traumatic stress symptoms obtained from the scales. RESULTS: 149 patients were attended between may 2020 and april 2021. 78 patients had PCR value and 52 had IL-6 value. There is no correlation between the score obtained on the PHQ-9, GAD-7 and PCL-5 scales and PCR or IL-6 value. There is no relation between being hospitalized for covid infection and the values of PHQ9 and GAD7. Patients hospitalized had lower scores in PCL-5 scale (t=2.67, p=0.009). There are no differences in the scale scores among patients requiring orotracheal intubation or not. CONCLUSIONS: In this descriptive study, inflammation parameters were not related with psychiatric symptoms in COVID-19 patients. Neither association was found between the inflammation parameters and the severity of COVID-19 symptoms, measured in terms of hospitalization requirement. DISCLOSURE OF INTEREST: None Declared |
format | Online Article Text |
id | pubmed-10434425 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-104344252023-08-18 Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit Vargas Puértolas, L. Legido Gil, T. Pechuán Martínez, E. Arroyo Núñez, À. Oller Canet, S. Eur Psychiatry Abstract INTRODUCTION: There is increasing interest in the association between neuropsychiatric symptoms in patients with COVID-19 and the proinflammatory status of the disease. Hospital del Mar Post-Covid Psychiatry Unit carried out a descriptive study to analyze the link between inflammation and mental health symptoms in COVID-19 patients. OBJECTIVES: Relate inflammation parameters to the presence of neuropsychiatric symptoms in COVID-19 patients treated at the Hospital del Mar Post-Covid Psychiatry Unit. METHODS: A database of patients evaluated by the Post-covid Psychiatry unit was developed. Clinical variables, whether hospitalization is required and inflammation indicators during COVID-19 infection (PCR and IL-6 analytical values) were recorded. Three screening scales for psychiatric symptoms were given to the patients: PHQ-9 for depression (1-4: minimal depression, 5-9: mild, 10-14: moderate, 15-19: moderately severe, 20-27: severe), GAD-7 for anxiety (cutoff point >=6) and PCL-5 for post-traumatic stress symptoms (cutoff point >6). T-student statistics for independent samples and the pearson correlation were used to relate inflammation parameters to depression, anxiety and post-traumatic stress symptoms obtained from the scales. RESULTS: 149 patients were attended between may 2020 and april 2021. 78 patients had PCR value and 52 had IL-6 value. There is no correlation between the score obtained on the PHQ-9, GAD-7 and PCL-5 scales and PCR or IL-6 value. There is no relation between being hospitalized for covid infection and the values of PHQ9 and GAD7. Patients hospitalized had lower scores in PCL-5 scale (t=2.67, p=0.009). There are no differences in the scale scores among patients requiring orotracheal intubation or not. CONCLUSIONS: In this descriptive study, inflammation parameters were not related with psychiatric symptoms in COVID-19 patients. Neither association was found between the inflammation parameters and the severity of COVID-19 symptoms, measured in terms of hospitalization requirement. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10434425/ http://dx.doi.org/10.1192/j.eurpsy.2023.878 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Vargas Puértolas, L. Legido Gil, T. Pechuán Martínez, E. Arroyo Núñez, À. Oller Canet, S. Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit |
title | Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit |
title_full | Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit |
title_fullStr | Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit |
title_full_unstemmed | Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit |
title_short | Association between inflammatory parameters and neuropsychiatric symptoms in COVID-19 patients treated in hospital del mar Post-COVID psychiatry functional unit |
title_sort | association between inflammatory parameters and neuropsychiatric symptoms in covid-19 patients treated in hospital del mar post-covid psychiatry functional unit |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434425/ http://dx.doi.org/10.1192/j.eurpsy.2023.878 |
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