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IntroductionCoronavirus pandemic (COVID-19) has caused a great psychological impact all over the world. With this research, we want to discover the incidence and associated risk factors for depressive symptoms among hospitalized patients. The objective is to investigate patients with criteria of a severe clinical picture and expressed systemic inflammatory response to SARS-CoV-2 coronavirus infection and if they develop mental disorders- depression, measured by Depression, anxiety and stress scale- DASS-21 scale. With this research, we also calculate the index of the immune-inflammatory response SII and test the hypothesis that people with higher SII will develop mental disorders more often. Demographic variables, comorbidities, COVID-19 severity criteria, and the intensity of the organism’s inflammatory response have also been examined. Psychiatric questionnaires were for the first time applied directly to patients with coronavirus infection during hospitalization.ObjectivesTo identify possible risk factors for depression and to investigate the association between disease severity and the occurrence of psychopathology among COVID-19 hospitalized patients.MethodsThe subjects are patients suffering from COVID-19, older than 18 years who were hospitalized in the respiratory center KB Dubrava. After an interview and informed consent, demographic data was taken and two psychological questionnaires had been applied. Variables: patient characteristics -demographic data, experience of vulnerability, information on whether they have been previously treated psychiatrically, symptoms of anxiety, depression, stress, somatic comorbidities Intensity of systemic inflammation Severity of COVID-19.ResultsA total of 169 patients hospitalized were analyzed. The median age of the patients was 65. There were (62.1%) men and (37.9%) women. On admission, most patients had a severe (134, 79.3%) or critical (17, 10.1%) form of COVID-19. The median Charlson comorbidity index was 3 points. Arterial hypertension was present in 101 (59.8%), diabetes mellitus 42 (24.9%), hyperlipoproteinemia 30 (17.8%), obesity 61 (36.1%), malignant disease 17 (10.1%) patients. 11 (6.5%) smoked and 7 (4.1%) patients consumed alcohol. The median CRPa was 72.75 mg /L. Median SII was 1741. During hospitalization, the median DASS21 score for depression was 14, for anxiety 8, and for stress 6. Regarding depression, it was absent in 49 (29%), mild in 27 (16%), moderate in 47 (27.8%), severe in 18 (10.7%) and extremely severe in 28 (16.6%) patients during hospitalization.ConclusionsPatients with symptoms of depression during hospitalization felt statistically significantly more likely to be in danger of life due to COVID-19, had a more pronounced intensity of symptoms of COVID-19 upon admission. Additionally, patients with higher DASS 21 scores for depression were significantly more likely to be female, had COPD and required oxygen supplementation at higher flows.Disclosure of InterestNone Declared

SOME ASPECTS OF QUALITY OF LIFE OF PEOPLE WITH MENTAL DISABILITIES – PERSPECTIVE OF CASE MANAGEMENT USERS AND PEOPLE IN MENTAL HEALTH FACILITIES ABSTRACT This paper presents two perspectives of people with mental disabilities on their perception of quality of life. Main aim of this paper was to develop a deeper knowledge about certain aspects of quality of life of people with mental health disabilities from the perspective of case management users and people in mental health facilities in the geographical area of Zagreb. Aspects of quality of life that we were interested in were: general health (physical and mental), social and environmental aspects (focusing on social transfers mostly). For this purpose, qualitative research approach was selected and data was collected through semi-structured interviews on the total sample of 8 users. Participants of this study were persons in direct contact with mental health facility »Dom za odrasle – Zagreb«. The mentioned mental health facility is providing case management program for their users, and therefore we had four participants from a case management group and four participants that were accommodated in the mental health facility. The results showed significant differences in social functioning, perception of mental health, as well as in environmental domain on behalf of case management users. Physical health is perceived better in mental health facilities. Key words: quality of life; people with mental disabilities; case management; metal health facilities; social work

The role of coping dispositions in predicting coping with a potentially traumatic event (PTE; situational coping) has been bypassed. We explored the degree to which the dispositional coping of 103 mountain rescuers predicted coping with their last PTE. Dispositional venting of emotions and turning to religion explained more than half of the variance in the use of the same strategy to cope with the PTE. Most coping dispositions predicted about 30% to 40% of the variance in comparable situational coping. Dispositional denial did not predict situational use of denial. Multivariate dispositional coping style explained a great deal of the variance in most situational coping responses. Dispositional coping was more relevant than situational to participants' global psychological distress and explained about one-fourth of the variance in distress. These results suggest that most dispositional styles considerably impact coping with PTE but to the extent that varies across different coping styles.