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Comparative analysis of anxiety/depression scores in COVID-19 patients with disease severity,sleep patterns,and certain laboratory test results
Authors:Zi-Qiang Meng  Qi Leng  Xu Wang  Chun-Hai Xu  Jing Xu  Yan Liu
Affiliation:1.Department of Hepatology, Xixi Hospital of Hangzhou, Hangzhou, China;2.Department of Geriatrics, The First Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang, China;3.Department of Ophthalmology, Xixi Hospital of Hangzhou, Hangzhou, China;4.Department of Infection, The Second Affiliated Hospital of Harbin Medical University, Harbin, China
Abstract:
IntroductionCoronavirus disease 2019 (COVID-19) is associated with severe emotional changes. This research aims to investigate the prevalence of anxiety and depression in COVID-19 patients and its relationship with disease severity, sleep patterns, lifestyle, and specific laboratory test results.Material and methodsAn observational study of 52 Chinese patients with COVID-19 was conducted to assess the relation between anxiety and depression (evaluated with the Hospital Anxiety and Depression Scale) and laboratory findings (lymphocytes, C-reactive proteins, leukocytes, alanine aminotransferase, aspartate aminotransferase). The relationships between the severity of COVID-19 in patients, the Insomnia Severity Index (ISI) score, and the Hospital Anxiety and Depression Scale (HADS) score were also investigated.ResultsThere were statistically significant associations between disease, smoking, and HADS-A scores (p = 0.011/0.020). The HADS-D score of patients with the disease was higher than in those without a past medical history (p = 0.008). The difference in C-reactive protein (CRP) between different lung infections, the HADS-A and HADS-D scores between different ages and ISI groups, and the correlation between the two scores were statistically significant.ConclusionsAnxiety and depression are associated with poor sleep quality, smoking, and past medical history in patients with COVID-19. Additionally, anxiety and depression were seen to coexist, and there was a positive correlation between them. Further, the inflammatory index CRP was significantly increased in bilateral lung infections.
Keywords:anxiety   depression   COVID-19   Insomnia Severity Index (ISI) score   Hospital Anxiety and Depression Scale (HADS) score
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