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Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge
Background: Clinical and scientific evidence has shown that a range of long-lasting symptoms can persist in the post-virological period. However, little is known about the psychological sequelae of patients hospitalized for coronavirus disease 2019 (COVID-19). Objective: This study aims to assess th...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318207/ https://www.ncbi.nlm.nih.gov/pubmed/35903268 http://dx.doi.org/10.1080/20008198.2022.2095133 |
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author | Bonazza, Federica Luridiana Battistini, Chiara Fior, Giulia Bergamelli, Emilio Wiedenmann, Federico D’Agostino, Armando Sferrazza Papa, Giuseppe Francesco Borghi, Lidia Piscopo, Kyrie Vegni, Elena Lamiani, Giulia |
author_facet | Bonazza, Federica Luridiana Battistini, Chiara Fior, Giulia Bergamelli, Emilio Wiedenmann, Federico D’Agostino, Armando Sferrazza Papa, Giuseppe Francesco Borghi, Lidia Piscopo, Kyrie Vegni, Elena Lamiani, Giulia |
author_sort | Bonazza, Federica |
collection | PubMed |
description | Background: Clinical and scientific evidence has shown that a range of long-lasting symptoms can persist in the post-virological period. However, little is known about the psychological sequelae of patients hospitalized for coronavirus disease 2019 (COVID-19). Objective: This study aims to assess the prevalence of anxiety–depressive symptoms, post-traumatic stress disorder (PTSD), and post-traumatic growth among patients hospitalized for COVID-19 during the first wave of the pandemic 6 months after discharge, and to identify sociodemographic and clinical factors associated with psychological outcomes. Method: This cross-sectional cohort study enrolled recovered COVID-19 patients during a multidisciplinary follow-up screening. At 6 months post-discharge, participants underwent a remote assessment with the Mini-International Neuropsychiatric Interview Plus and completed the Hospital Anxiety and Depression Scale, PTSD Checklist for DSM-5, and Post-Traumatic Growth Inventory. Descriptive and regression analyses were conducted. Results: The sample was composed of 100 patients, mainly males (72%), with a mean ± SD age of 58.7 ± 11.8 years. Regarding psychological symptoms, 34% and 24% of patients, respectively, reported anxiety and depression over the clinical threshold, and 20% met the criteria for a possible PTSD diagnosis. Psychological symptoms were associated with the presence of a mood disorder in the patient’s clinical history and having received a psychological consultation after discharge. Post-traumatic growth was associated with younger age and having received a psychological consultation after discharge. Conclusions: A high prevalence of anxiety and depressive symptoms, potentially indicative for a mood or anxiety disorder, and PTSD was confirmed among COVID-19 survivors after 6 months. Anxiety and depressive symptoms and PTSD were associated with a previous diagnosis of a mood disorder and having received psychological consultation. Post-traumatic growth was associated with younger age and having received psychological consultation. Tailored psychological interventions could help to elaborate the psychological suffering and foster post-traumatic growth after a traumatic experience such as COVID-19 hospitalization. HIGHLIGHTS: A high prevalence of psychological symptoms has been observed among COVID-19 survivors 6 months after hospitalization. Tailored psychological interventions could help to contain the psychological sequelae and facilitate post-traumatic growth. |
format | Online Article Text |
id | pubmed-9318207 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-93182072022-07-27 Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge Bonazza, Federica Luridiana Battistini, Chiara Fior, Giulia Bergamelli, Emilio Wiedenmann, Federico D’Agostino, Armando Sferrazza Papa, Giuseppe Francesco Borghi, Lidia Piscopo, Kyrie Vegni, Elena Lamiani, Giulia Eur J Psychotraumatol Clinical Research Article Background: Clinical and scientific evidence has shown that a range of long-lasting symptoms can persist in the post-virological period. However, little is known about the psychological sequelae of patients hospitalized for coronavirus disease 2019 (COVID-19). Objective: This study aims to assess the prevalence of anxiety–depressive symptoms, post-traumatic stress disorder (PTSD), and post-traumatic growth among patients hospitalized for COVID-19 during the first wave of the pandemic 6 months after discharge, and to identify sociodemographic and clinical factors associated with psychological outcomes. Method: This cross-sectional cohort study enrolled recovered COVID-19 patients during a multidisciplinary follow-up screening. At 6 months post-discharge, participants underwent a remote assessment with the Mini-International Neuropsychiatric Interview Plus and completed the Hospital Anxiety and Depression Scale, PTSD Checklist for DSM-5, and Post-Traumatic Growth Inventory. Descriptive and regression analyses were conducted. Results: The sample was composed of 100 patients, mainly males (72%), with a mean ± SD age of 58.7 ± 11.8 years. Regarding psychological symptoms, 34% and 24% of patients, respectively, reported anxiety and depression over the clinical threshold, and 20% met the criteria for a possible PTSD diagnosis. Psychological symptoms were associated with the presence of a mood disorder in the patient’s clinical history and having received a psychological consultation after discharge. Post-traumatic growth was associated with younger age and having received a psychological consultation after discharge. Conclusions: A high prevalence of anxiety and depressive symptoms, potentially indicative for a mood or anxiety disorder, and PTSD was confirmed among COVID-19 survivors after 6 months. Anxiety and depressive symptoms and PTSD were associated with a previous diagnosis of a mood disorder and having received psychological consultation. Post-traumatic growth was associated with younger age and having received psychological consultation. Tailored psychological interventions could help to elaborate the psychological suffering and foster post-traumatic growth after a traumatic experience such as COVID-19 hospitalization. HIGHLIGHTS: A high prevalence of psychological symptoms has been observed among COVID-19 survivors 6 months after hospitalization. Tailored psychological interventions could help to contain the psychological sequelae and facilitate post-traumatic growth. Taylor & Francis 2022-07-25 /pmc/articles/PMC9318207/ /pubmed/35903268 http://dx.doi.org/10.1080/20008198.2022.2095133 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Article Bonazza, Federica Luridiana Battistini, Chiara Fior, Giulia Bergamelli, Emilio Wiedenmann, Federico D’Agostino, Armando Sferrazza Papa, Giuseppe Francesco Borghi, Lidia Piscopo, Kyrie Vegni, Elena Lamiani, Giulia Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge |
title | Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge |
title_full | Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge |
title_fullStr | Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge |
title_full_unstemmed | Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge |
title_short | Recovering from COVID-19: psychological sequelae and post-traumatic growth six months after discharge |
title_sort | recovering from covid-19: psychological sequelae and post-traumatic growth six months after discharge |
topic | Clinical Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318207/ https://www.ncbi.nlm.nih.gov/pubmed/35903268 http://dx.doi.org/10.1080/20008198.2022.2095133 |
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