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Mental health outcomes among patients from Fangcang shelter hospitals exposed to coronavirus disease 2019: An observational cross-sectional study
作者姓名:Guang-Yin Zhang  Qi Liu  Jing-Yu Lin  Lin Yan  Li Shen  Tian-Mei Si
作者单位:Department of Psychosomatic Medicine;Peking University Sixth Hospital&Peking University Institute of Mental Health;NHC Key Laboratory of Mental Health(Peking University)&National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital);Department of Gastroenterology
基金项目:National Natural Science Foundation of China(No. 81630031);National Science and Technology Major Project for Investigational New Drug(2018ZX09201-014);Tianjin Municipal Science and Technology Project(No. 17ZXMFSY00100);Extension project of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine(No. 2020004)。
摘    要:Background: The coronavirus disease 2019 (COVID-19) is not only attacking physical health, but it is also increasing psychological suffering. This study aimed to observe the impact of the COVID-19 pandemic on mental health outcomes among patients with mild to moderate illness in Fangcang shelter hospitals.Methods: We conducted an observational, cross-sectional study of 129 patients with mild to moderate illness from Jiangxia Fangcang shelter hospitals in Wuhan, China. The participants were assessed by quantifying their symptoms of depression, anxiety, insomnia, and stressful life events and analyzing potential risk factors associated with these symptoms. Using correlation analysis, we examined associations between exposure to COVID-19 and subsequent psychological distress in response to the outbreak.Results: In total, 49.6% of participants had depressive or anxiety symptoms. The depressive and anxiety symptoms were highly related to sleep disturbances and hypochondriasis (allr > 0.50,P < 0.01). The impact of the event was positively related to depressive symptoms, anxiety symptoms, sleep disturbances, hypochondriasis and life events (allr > 0.35,P < 0.01) but was negatively related to psychological resilience (r = -0.41,P < 0.01). The presence of the COVID-19 infection in this setting was associated with increased anxiety, depression and stress levels, and decreased sleep quality, and seriously affected patients’ quality of life as well as adversely affecting the course and prognosis of physical diseases.Conclusion: The sleep quality, anxiety, and depression of COVID-19 patients in Fangcang shelter hospitals were significantly related to the impact of the epidemic.

关 键 词:Psychological  distress  Coronavirus  disease  2019(COVID-19)  Self  assessment(Psychology)

Mental health outcomes among patients from Fangcang shelter hospitals exposed to coronavirus disease 2019: An observational cross-sectional study
Authors:Guang-Yin Zhang  Qi Liu  Jing-Yu Lin  Lin Yan  Li Shen  Tian-Mei Si
Abstract:BackgroundThe coronavirus disease 2019 (COVID-19) is not only attacking physical health, but it is also increasing psychological suffering. This study aimed to observe the impact of the COVID-19 pandemic on mental health outcomes among patients with mild to moderate illness in Fangcang shelter hospitals.MethodsWe conducted an observational, cross-sectional study of 129 patients with mild to moderate illness from Jiangxia Fangcang shelter hospitals in Wuhan, China. The participants were assessed by quantifying their symptoms of depression, anxiety, insomnia, and stressful life events and analyzing potential risk factors associated with these symptoms. Using correlation analysis, we examined associations between exposure to COVID-19 and subsequent psychological distress in response to the outbreak.ResultsIn total, 49.6% of participants had depressive or anxiety symptoms. The depressive and anxiety symptoms were highly related to sleep disturbances and hypochondriasis (all r > 0.50, P < 0.01). The impact of the event was positively related to depressive symptoms, anxiety symptoms, sleep disturbances, hypochondriasis and life events (all r > 0.35, P < 0.01) but was negatively related to psychological resilience (r = ?0.41, P < 0.01). The presence of the COVID-19 infection in this setting was associated with increased anxiety, depression and stress levels, and decreased sleep quality, and seriously affected patients’ quality of life as well as adversely affecting the course and prognosis of physical diseases.ConclusionThe sleep quality, anxiety, and depression of COVID-19 patients in Fangcang shelter hospitals were significantly related to the impact of the epidemic.
Keywords:Psychological distress  Coronavirus disease 2019 (COVID-19)  Self assessment (Psychology)
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