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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...

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Autores principales: Vargas Puértolas, L., Legido Gil, T., Pechuán Martínez, E., Arroyo Núñez, À., Oller Canet, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
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
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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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