Title
Mental Health in COVID-2019 Survivors from a General Hospital in Peru: Sociodemographic, Clinical, and Inflammatory Variable Associations
Date Issued
01 January 2021
Access level
open access
Resource Type
journal article
Publisher(s)
Springer
Abstract
The current coronavirus disease-2019 (COVID-19) pandemic constitutes a significant public health problem worldwide, as well as mental health problems. This study aimed to evaluate the mental health of COVID-19 survivors, considering their sociodemographic, clinical, and immune variables. A cross-sectional and correlational study was conducted on 318 COVID-19 survivors from one hospital in Peru. Through telephone interviews, evaluation of the presence of depressive symptoms using the Patient Health Questionnaire-9, anxiety symptoms through the Generalized Anxiety Disorder-7, somatic symptoms through Patient Health Questionnaire-15, and posttraumatic stress disorder (PTSD) symptoms through Impact of Event Scale-Revised was carried out. Poisson regression analyses were performed with their adjusted variances to calculate the prevalence ratio (PR) with their 95% confidence interval. All regression models were adjusted (PRa) for follow-up time. A significant proportion of patients have depressive (30.9%), anxious (31.1%), somatic (35.2%), and PTSD (29.5%) symptoms. The variables associated with a higher frequency of clinically relevant mental symptoms were female sex, self-perception of greater COVID-19 severity, presence of persistent COVID-19 symptoms, loss of a family member due to COVID-19, and prior psychiatric diagnosis or treatment. In addition, the neutrophil-to-lymphocyte ratio was significantly higher in patients with clinically relevant symptoms of depression. COVID-19 survivors showed a high prevalence of negative mental symptoms. Our findings help to identify patients who are vulnerable and require psychiatric care.
Language
English
OCDE Knowledge area
Epidemiología Psicología (incluye terapias de aprendizaje, habla, visual y otras discapacidades físicas y mentales) Psiquiatría
Scopus EID
2-s2.0-85115860300
Source
International Journal of Mental Health and Addiction
ISSN of the container
15571874
Sponsor(s)
This study was carried out at Hospital Nacional Guillermo Almenara Irigoyen (HNGAI), which is the second largest hospital of the “Seguridad Social de Salud del Perú” (EsSalud), with a total of 815 hospital beds. Furthermore, it is a tertiary referral hospital with medical specialties. By 2019, the Almenara network met the health needs of 1,634,990 insured (Seguro Social de Salud, ). Social security is one of the forms of medical insurance that Peru utilizes; thus, patients treated are those with insurance, whose contribution is paid by the employer. In the case of pensioners, the contribution is charged to the insured. This insurance includes dependent, domestic, civil construction workers, and port, fishermen, and pensioners. EsSalud is financed by the Ministry of Labor (Alcalde-Rabanal et al., ).
Sources of information: Directorio de Producción Científica Scopus