Mental health outcomes among patients from Fangcang shelter hospitals exposed to coronavirus disease 2019: An observational cross‐sectional study

Abstract

Background The coronavirus disease 2019 (COVID-19) is not only attacking our 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 (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. Conclusion The sleep quality, anxiety, and depression of COVID-19 patients in Fangcang shelter hospitals were significantly related to the impact of the epidemic.

The Association between Resilience and Psychological Distress during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

“…Of these studies, 31 had cross-sectional designs, and two were cohort studies. The studies were conducted in China (n = 18) [ 1 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ], Spain (n = 3) [ 66 , 67 , 68 ], Israel (n = 2) [ 69 , 70 ], Iran (n = 1) [ 71 ], the Philippines (n = 1) [ 72 ], Japan (n = 1) [ 73 ], South Korea (n = 1) [ 74 ], the United States (n = 1) [ 75 ], South Africa (n = 1) [ 76 ], Portugal (n = 1) [ 77 ], Slovenia (n = 1) [ 78 ], Brazil (n = 1) [ 79 ], and Indonesia (n = 1) [ 80 ] ( Table 1 ). The pooled sample size across the included studies was 34,366, with samples ranging from 60 to 7800 participants in individual studies.…”

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

“…In China, existing literature on Fangcang hospital inpatients has mainly focused on symptom dynamics, [23][24][25] treatment strategies, [26][27][28] and clinical and mental health outcomes [29][30][31] in this population. Limited data are available illuminating the lived isolation and healthcare experiences of this group during their hospital stay.…”

The The Effectiveness of Progressive Muscle Relaxation in Reducing Anxiety and Sleep Disturbances in Hospitalized COVID-19 Patients: A Narrative Review

“…The COVID-19 outbreak which first appeared at the end of 2019 caused various disadvantages, one of which was psychiatric problems such as serious anxiety that closely related to sleep disturbances, especially in confirmed patients. 16,17 There are several factors that cause these problems, including patients' feelings of life-threatening illnesses, frustration on conditions they are in, and fear of the virus will infect their family members. In addition, the discomfort and pain of COVID-19 symptoms and isolation from family members or relatives can also increase the risk of anxiety and sleep disturbances.…”

“…In addition, the discomfort and pain of COVID-19 symptoms and isolation from family members or relatives can also increase the risk of anxiety and sleep disturbances. 6, 16 Both anxiety and sleep disturbances potentially cause psychological stress which could worsen the COVID-19 patient's condition. Psychological stress is one of the factors that increase concentrations of pro-inflammatory markers such as C-reactive protein (CRP) and Interleukin-6 (IL-6).…”