Influence of COVID-19 on general stress and posttraumatic stress symptoms among hospitalized high-risk patients

Wesemann, Ulrich; Hadjamu, Nino; Willmund, Gerd; Dolff, Sebastian; Vonderlin, Nadine; Wakili, Reza; Vogel, James A.; Rassaf, Tienush; Siebermair, Johannes

doi:10.1017/s0033291720003165

Cited by 18 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To date, one study reported PTSD symptoms in 12.2% of 41 COVID-19-positive inpatients during hospitalisation. 14 Two studies reported significant post-traumatic stress symptoms in 42.1% 15 and 96.2% 16 of hospitalised COVID-19 patients. However, an early assessment of post-traumatic stress symptoms during hospitalisation may reflect temporary acute stress disorder rather than PTSD.…”

Section: Introductionmentioning

confidence: 98%

Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge

et al. 2021

View full text Add to dashboard Cite

Background Post-traumatic stress disorder (PTSD) is a severe but treatable mental disorder that develops after a life-threatening traumatic event. Coronavirus disease 19 (COVID-19) hospitalisation is a potentially traumatic experience, especially in severe cases. Furthermore, the unprecedented context of the severe acute respiratory syndrome coronavirus 2 pandemic, with daily media bombardment about COVID-19 mortality, may have amplified life-threatening perception also in patients with moderate infection. The aim of this study was to assess the prevalence and risk factors of PTSD at 3-month follow-up in patients hospitalised for COVID-19 infection. Design In this cohort follow-up study conducted in a large Italian academic COVID-19 hospital, 115 recruited survivors were contacted by telephone 3 months after discharge to home care. The Posttraumatic Stress Disorder Checklist for DSM-5 was administered. Multivariate logistic regression models were used to analyse risk factors for the development of PTSD. Key Results A total of 10.4% of the sample received a PCL-5-based diagnosis of PTSD. Other 8.6% of the sample received a diagnosis of subthreshold PTSD, which leads to significant levels of distress and impairment. Multivariate regression analysis indicated that previous psychiatric diagnosis (odds ratio (OR) = 6.3, 95% confidence interval (CI): 3.7–78.6, p < 0.001) and obesity (OR = 3.51, 95% CI: 1.4–857.9, p = 0.03) were risk factors for developing PTSD. Chronic pulmonary diseases approached significance as a risk factor (OR = 6.03, 95% CI: 1.0–37.1, p = 0.053). Male sex was a protective factor (OR=0.04, 95% CI: 0.0–0.041, p = 0.007). Conclusions PTSD and subthreshold PTSD rates in patients hospitalised for COVID-19 are worrying. Female sex and pre-existing mental disorders are established risk factors for PTSD, while the prospective association with obesity needs further investigation. Clinicians treating COVID-19 should consider screening for PTSD at follow-up assessments in patients discharged from the hospital.

show abstract

Section: Introductionmentioning

confidence: 98%

Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge

et al. 2021

View full text Add to dashboard Cite

show abstract

“…11 In high-risk hospital patients with COVID-19 and severe pulmonary, cardiovascular, or oncological diseases, the prevalence rate for post-traumatic stress disorder (PTSD) was 38%. 12 In North Rhine-Westphalia in Germany, the cumulative incidence of COVID-19 up to June 4 was 215 per 100,000 population with a mortality rate of 4.2%. Therefore, COVID-19 was a serious threat at that time.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Anger Among Hospital Medical Staff Exposed to Patients with COVID-19

et al. 2021

View full text Add to dashboard Cite

Occupational exposure to patients with COVID-19 is a stress factor. The aim of this study was to assess gender differences in anger among medical hospital staff. Methods: N = 78 hospital employees with direct or indirect contact to patients with COVID-19 completed State-Trait Inventory-2. Results: Female personnel showed higher scores in the main ''trait anger'' scale and its subscale ''anger temperament,'' whereas ''anger control-out'' was significant lower. Direct patient contact had no influence. Conclusion: More specific training for female hospital staff could achieve health-related equity. Focusing on anger as a leading indicator could lead to better prevention and self-monitoring. Registered at Clinicaltrials.gov (NCT04368312).

show abstract

“…They found that 12.4% of patients had clinically meaningful PTS. By contrast, a far higher prevalence was reported by Bo et al (2020) in this journal, who used the civilian version of a PTSD questionnaire based on DSM-IV (PCL-C). These authors found a prevalence of PTS of 96.2% in 714 patients with mildhttps://doi.org/10.1017/S003329172000481X Downloaded from https://www.cambridge.org/core.…”

Section: To the Editormentioning

confidence: 71%

“…Other studies report high frequencies of PTS, but do not clearly describe COVID-19 severity. Wesemann et al ( 2020 ) used the PCL-5 and found significant PTS in 8/19 (42%) COVID-19 patients shortly after their presentation to hospital, whereas Chang and Park ( 2020 ) used the PCL-5 to identify PTS in 13/64 (20%) patients assessed 10 weeks after discharge. Either study neither described COVID-19 severity nor indicated the requirement for critical care.…”

mentioning

confidence: 99%

Post-traumatic symptoms after COVID-19 may (or may not) reflect disease severity

et al. 2020

View full text Add to dashboard Cite

Influence of COVID-19 on general stress and posttraumatic stress symptoms among hospitalized high-risk patients

Abstract: Influence of COVID-19 on general stress and posttraumatic stress symptoms among hospitalized high-risk patients. Psychological Medicine 1-2.

Cited by 18 publications

References 13 publications

Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge

Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge

Gender Differences in Anger Among Hospital Medical Staff Exposed to Patients with COVID-19

Post-traumatic symptoms after COVID-19 may (or may not) reflect disease severity

Contact Info

Product

Resources

About