Survivors of COVID-19 are at high risk of posttraumatic stress disorder

Xiao, Shuiyuan; Luo, Dan; Yang, Xiao

doi:10.1186/s41256-020-00155-2

Cited by 127 publications

(125 citation statements)

References 6 publications

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“…Heavy inflammatory response associated with symptomatic COVID-19 could promote such prolonged convalescence and persisting symptoms. Some authors also suggest the possibility of post-trauma stress disorder after COVID-19, which could contribute to a more prolonged experience of symptoms such asthenia or poor well-being ( 23 , 24 ). These complex tardive psychological disorders have already been shown after acute respiratory distress syndrome ( 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Follow-up of adults with noncritical COVID-19 two months after symptom onset

Carvalho-Schneider

Laurent

Lemaignen

et al. 2021

Clinical Microbiology and Infection

654

638

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Objectives To describe the clinical evolution and predictors of symptom persistence during 2-month follow-up in adults with non-critical COVID-19. Methods Descriptive clinical follow-up (days 7, 30 [D30] and 60 [D60]) of 150 patients with non-critical COVID-19 confirmed by RT-PCR at Tours University Hospital from March 17 to June 3, 2020, including demographic, clinical and laboratory data collected from the electronic medical records and by phone call. Persisting symptoms were defined by the presence at D30 or D60 of at least one of the following: weight loss ≥ 5%, severe dyspnea or asthenia, chest pain, palpitations, anosmia/ageusia, headache, cutaneous signs, arthralgia, myalgia, digestive disorders, fever or sick leave. Results At D30, 68% (n=103/150) of patients presented at least one symptom and 66% (n=86/130) at D60, mainly anosmia/ageusia: (59% (n=89/150) at symptom onset, 28% (n=40/150) at D30 and 23% (n=29/130) at D60). Dyspnea concerned 36.7% (n=55/150) patients at D30 and 30% (n=39/130) at D60. Half of the patients (n=74/150) at D30 and 40% (n=52/130) at D60 reported asthenia. Persistent symptoms at D60 were significantly associated with age 40 to 60 years old, hospital admission and abnormal auscultation at symptom onset. At D30, severe COVID-19 and/or dyspnea at symptom onset were additional factors associated with persistent symptoms. Conclusions Up to 2 months after symptom onset, two thirds of adults with non-critical COVID-19 had complaints, mainly anosmia/ageusia, dyspnea or asthenia. A prolonged medical follow-up of patients with COVID-19 seems essential, whatever the initial clinical presentation.

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Section: Discussionmentioning

confidence: 99%

Follow-up of adults with noncritical COVID-19 two months after symptom onset

Carvalho-Schneider

Laurent

Lemaignen

et al. 2021

Clinical Microbiology and Infection

654

638

View full text Add to dashboard Cite

show abstract

“…Most workers present probability of developing a posttraumatic stress disorder, anxiety or depression. During the Middle East Respiratory Syndrome (MERS) or Ebola crises, among others, health professionals reported a higher number of symptoms related to posttraumatic stress [ 39 ], so it is necessary to pay attention to the increase in these symptoms, even more so in the situation of the COVID-19 pandemic that has not yet subsided. The demographic variables show that having a doctoral or postgraduate degree represent protective variables of anxiety and posttraumatic stress, respectively.…”

Section: Discussionmentioning

confidence: 99%

Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic

Moreno

Talavera‐Velasco

García-Albuerne

et al. 2020

IJERPH

543

515

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The number of health workers infected with COVID-19 in Spain is one of the highest in the world. The aim of this study is to analyse posttraumatic stress, anxiety and depression during the COVID-19 pandemic. Associations between burnout, resilience, demographic, work and COVID-19 variables are analysed. Cross-sectional data on 1422 health workers were analysed. A total of 56.6% of health workers present symptoms of posttraumatic stress disorder, 58.6% anxiety disorder, 46% depressive disorder and 41.1% feel emotionally drained. The profile of a health worker with greater posttraumatic stress symptoms would be a person who works in the Autonomous Community of Madrid, in a hospital, is a woman, is concerned that a person he/she lives with may be infected, and thinks that he/she is very likely to be infected. The risk variables for anxiety and depression would be a person that is a woman, working 12- or 24-h shifts, and being worried that a family member could be infected. High scores on emotional exhaustion and depersonalization are risk factors for mental health, with resilience and personal fulfilment being protective variables. Data are provided to improve preventive measures for occupational health workers.

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“…The mental health impacts of such a natural disaster, as evidenced by high rates of posttraumatic stress disorder (PTSD) after Hurricane Katrina, may pose a barrier to educational success ( Phillips and Phillips 2008 ). Experts are similarly worried about high rates of PTSD and other mental health concerns due to the COVID-19 pandemic ( Xiao, Luo, and Xiao 2020 ).…”

Section: Literature Reviewmentioning

confidence: 99%

COVID-19 Remote Learning Transition in Spring 2020: Class Structures, Student Perceptions, and Inequality in College Courses

2020

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The COVID-19 pandemic forced all face-to-face college courses to transition to remote instruction. This article explores instructional techniques used in the transition, student perceptions of effectiveness/enjoyment/accessibility of those techniques, barriers that students faced due to the transition, and race/class/gender inequality in experiencing those barriers. We used surveys in introductory courses by two instructors (the authors) to compare students’ reactions to our transitions and the transitions in their other courses. We found that which instructional technique instructors use is less important than how well they implement it for student learning. Although there is a tradeoff between enjoyment and accessibility, instructors can use techniques to increase accessibility of interactive formats. Internet and technology barriers were extremely common, even for students who did not anticipate problems. Most students experienced barriers to their learning due to the pandemic, including distractions, increased anxiety, and feeling less motivated, especially for nonwhite, female, and first-generation college students.

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Survivors of COVID-19 are at high risk of posttraumatic stress disorder

Cited by 127 publications

References 6 publications

Follow-up of adults with noncritical COVID-19 two months after symptom onset

Follow-up of adults with noncritical COVID-19 two months after symptom onset

Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic

COVID-19 Remote Learning Transition in Spring 2020: Class Structures, Student Perceptions, and Inequality in College Courses

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