Volume 13, Issue 1 (3-2023)                   PCNM 2023, 13(1): 59-71 | Back to browse issues page


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Omranifard V, Ghassemi Toudeshkchuie G, Nikfarjam N, Gharavinia A. Anxiety and Depressive Symptomatology among Iranian Patients Hospitalized for COVID-19 in January 2020. PCNM 2023; 13 (1) :59-71
URL: http://nmcjournal.zums.ac.ir/article-1-800-en.html
Ph D Social Work, Professor, Department of Psychiatry, Medical Education Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran , ghr.ghassemi@gmail.com
Abstract:   (2395 Views)
Background: Widespread outbreaks of Coronavirus disease among Iranian people are not only associated with physical illness but also with psychological symptoms which need special attention.
Objectives: This study was an endeavor to examine the relationship between comorbidity and death anxiety with Anxiety and Depressive Symptomatology among those survived after the COVID-19 pandemic in Iran.
Methods: This was a cross-sectional study in which the probands o survivors of COVID-19 participated. By means of convenient smpling method and adhering to selection criteria we chose 300 patients admitted for COVID-19 in a university affiliated hospital in Isfahan-Iran during the January 2020. We collected the data pertaining to their illness history, including information about their comorbidity and demographic background by means of an interview schedule with closed-ended questions. We used the Persian version of Templer's Death Anxiety Scale (TDAS) and Hospital Anxiety and Depression Scale (HADS). Data were computer analyzed using SPSS-19 and running Hierarchical Log-linear analysis symptomatology in a saturated model.
Results: Majority of the participants were female (64%) with the mean (SD) age of 44.8 (12.8) years. Positive comorbidity was accompanied by a higher chance of exhibiting depressive symptoms (OR=34.67, df =1, P=0.000). High death anxiety was accompanied by higher chances of anxiety-depressive symptoms (OR=90.13, df =1, P=0.00).
Conclusion: These observations reinforce the hypothesis proposed on the basis of Hill’s (1958) ABC-X model and provided impetus to idea that how absence of comorbidity and positive perception of illness condition protect individuals from psychological hazards of COVID-19.
 
Full-Text [PDF 697 kb]   (1198 Downloads)    
Type of Study: Orginal research | Subject: other
Received: 2021/11/11 | Accepted: 2023/03/1 | Published: 2023/03/1

References
1. 1. Simonawn L, Viboud C. A comprehensive look at the COVID-19 pandemic death toll. eLife. 2021; 10: e71974.[ https://doi.org/10.7554/eLife.71974 [Crossref]
2. Ghafaria M, Kadivarb AR, Katzourakisa A. Excess deaths associated with the Iranian COVID-19 epidemic:A province-level analysis. Int J Infect Dis. 2021; 107: 101-15. [ https://doi.org/10.1016/j.ijid.2021.04.015 [Crossref]
3. Adhikari S, Meng S, Wu Y, Mao Y, Ye R, Wang Q, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020; 9(1): 29. [Crossref]
4. Long E, Patterson S, Maxwell K, et al. COVID-19 Pandemic and its Impact on Social Relationships and Health. J Epidemiol Community Health. 2022; 76(2): 128-32. [Crossref]
5. Nolan S, Khan Rumi S Kh, Anderson C, David K, Salim FD. Exploring the Impact of COVID-19 Lockdown on Social Roles and Emotions while Working from Home. 2020. J ACM 1, 1, Article 1 (July 2020), 9 pages.[ https://doi.org/10.1145/1122445.1122456 [Crossref]
6. Liu J(Joyce), Dalton AN, Lee J (2021) The "Self" under COVID-19: Social role disruptions,self-authenticity and present-focused coping. PLoS ONE. 16(9): e0256939. [ https://doi.org/10.1371/journal.pone.0256939 [Crossref]
7. Rewerska-Ju'sko M, Rejdak, K. Social Stigma of Patients Suffering from COVID-19: Challenges for Health Care System. Healthcare. 2022; 10: 292. [Crossref]
8. Fardin MA. COVID-19 and Anxiety: A Review of Psychological Impacts of Infectious Disease Outbreaks. Arch Clin Infect Dis. 15(COVID-19): e102779. [doi: 10.5812/archcid.102779] [Crossref]
9. Lu S, Wei N, Jiang J, Wu L, Sheng J, Zhou J, et al. First report of manic-like symptoms in a COVID-19 patient with no previous history of a psychiatric disorder. J Affect Disord. 2020; 277: 337-40. [doi: 10.1016/j.jad.2020.08.031] [Crossref]
10. Paz C, Mascialino G, Adana‐Díaz L, Rodríguez‐Lorenzana A, Simbaña‐Rivera K, Gómez‐Barreno L et al. Anxiety and depression in patients with confirmed and suspected COVID ‐19 in Ecuador. Psychiatry Clin Neurosci. 2020;74(10):554-55. [doi: 10.1111/pcn.13106] [Crossref]
11. Parra A, Juanes A, Losada C, Álvarez-Sesmero S, Santana V, Martí I et al. Psychotic symptoms in COVID-19 patients. A retrospective descriptive study. Psychiatry Res. 2020; 291: 113254. [ https://doi.org/10.3390/healthcare10020292 [Crossref]
12. Gasnier M, Choucha W, Radiguer F, et al. Comorbidity of long COVID and psychiatric disorders after a hospitalisation for COVID-19: a crosssectional study. J Neurol Neurosurg Psychiatry. 2022;93:1091-1098. [doi: 10.1136/jnnp-2021-328516] [Crossref]
13. Gaur V, Salvi D, Gautam M, Sangwan V, Tambi T, Kalia A, et al. Psychiatric comorbidity in clinically stable COVID 19 patients. Indian J Psychiatry 2022; 64: 89 92. [doi: 10.4103/indianjpsychiatry.indianjpsychiatry_312_21] [Crossref]
14. Romeyke T, Noehammer E, Stummer H. COVID-19 Patient with Severe Comorbidity in Multimodal Acute Care Setting with Non-Invasive Medical Ventilation: A Clinical Outcome Report. Clin. Pract. 2021; 11: 81-91. [doi:10.3390/clinpract11010013] [Crossref]
15. Wang, B.; Li, R.; Lu, Z.; Huang, Y. Does comorbidity increase the risk of patients with COVID-19: Evidence from meta-analysis. Aging. 2020; 12. 6049-57. [doi: 10.18632/aging.103000] [Crossref]
16. Sanyaolu A, Okorie C, Marinkovic A, Patidar R, Younis K, Desai P, Hosein Z, Padda I, Mangat J, Altaf M. Comorbidity and its Impact on Patients with COVID-19. SN Compr Clin Med. 2020;2(8):1069-1076. doi: 10.1007/s42399-020-00363-4. Epub 2020 Jun 25. PMID: 32838147; PMCID: PMC7314621. [Crossref]
17. Madziva R , Nachipo B, Musuka G, Chitungo I, Murewanhema G, Phiri B, et al. The role of social media during the COVID-19 pandemic: Salvaging its 'power' for positive social behaviour change in Africa. Health Promot Perspect. 2022; 12(1): 22-27. [doi: 10.34172/hpp.2022.03] [Crossref]
18. Ferrara E. "What types of covid-19 conspiracies are populated by twitter bots?" First Monday, May 2020. [Online]. [http://dx.doi.org/10.5210/fm.v25i6.10633] [Crossref]
19. Park HW, Park S, Chong M. Conversations and medical news frames on twitter: Infodemiological study on covid-19 in South Korea. J Med Int Res. 2020; 22(5): e18897. [Crossref]
20. Chapple HS, Bouton BL, Yin Man Chow A, Gilbert KR, Kosminsky P, Moore J, et al. The body of knowledge in thanatology: An outline. Death Stud. 2017; 41(2): 118-25. [http://dx.doi.org/10.1080/07481187.2016.1231000] [Crossref]
21. Campbellm, G. D. (2013). Exit strategy a textbook on death and dying. New York: New Paltz.
22. Iverach L, Menzies RG. Death anxiety and its role in psychopathology: Reviewing the status of a trans diagnostic construct. Clin Psychol Rev. 2014; 34: 580-93. [Crossref]
23. Adelirad F, Sabathizar Kh, Asghar Jafarabadi M, Namjoo S, Kumar Chattus V, Allahverdipour H. Gender difference about death anxiety among older adults: Structural Equation Model. Psychgeriacs. 2021; 21(3): 296-303 [http://dx.doi.org/10.1111/psyg.12663] [Crossref]
24. Bastani F, Farnood F, Haqhani H. Evaluation of Death Anxiety in Elderly Patients With Cancer Undergoing Chemotherapy. J Client-Centered Nurs Care, 2016; 2(3): 153-60. [ https://doi.org/10.32598/jccnc.2.3.153 [Crossref]
25. Ramezani N, Ashtari F, Elahe, Bastami A, Ghaderi K, Hosseini SM, Kazemi Naeini M, et al. Fear and anxiety in patients with multiple sclerosis during COVID-19 pandemic; report of an Iranian population. Mult Scler Relat Disord. 2021; 50: 102798. [ https://doi.org/10.1016/j.msard.2021.102798 [Crossref]
26. Asghari Ebrahim Abad MJ, Shirkhani M, Mazloomzadeh M, Maghsoudi S, Salayani F. Relationship between fear of coronavirus and death anxiety: Mediating role of behavioral inhibition system. Fundam Mental Health. 2021; 23(3): 171-80.
27. Chalhoub Z, Koubeissy H, Fares Y, AbouAbbas L. Fear and death anxiety in the shadow of COVID-19 among the Lebanese population: A cross-sectional study. Plos One. 2022; 17(7): e0270567. [ https://doi.org/10.1371/journal.pone.0270567 [Crossref]
28. Markiewicz-Gospodarek A, Górska A, Markiewicz R, Chilimoniuk Z, Czeczelewski M, Baj J, Maciejewski R, Masiak J. The Relationship between Mental Disorders and the COVID-19 Pandemic-Course, Risk Factors, and Potential Consequences. Int J Environ Res Public Health. 2022;19, 9573. [ https://doi.org/10.3390/ijerph19159573 [Crossref]
29. Hill R. Generic features of families under stress. Social Casework,1958; 49, 139-150. [Crossref]
30. CDC. Case definitions for infectious conditions un-der public health surveillance. MMWR Recomm Rep. 1997; 46(10): 45-6.
31. Sadock BJ, Sadock VA. (Eds) Comprehensive Textbook of Psychiatry. 7 th ed. Philadelphia : Wolters Klower. 2010.
32. Soleimani MA, Bahrami N, Yaghoobzadeh A, Banihashemi H, Sharif Nia H, Haghdoost AA. Validity and reliability of the Persian version of Templer death anxiety scale in family caregivers of cancer patients. Iran J Nurs Midwifery Res. 2016; 21(3): 284-90. [Crossref]
33. Montazeri A, Vahdaninia M, Ebrahimi M, et al. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003; 1, 14. [ https://doi.org/10.1186/1477-7525-1-14 [Crossref]
34. Landau S, Everrit B A handbook of statistical analyses using SPSS. United States: Chapman & Hall. 2005.
35. Ghazawy E, Ewis A, Mahfouz E, Khalil D, Arafa A, Mohammed Z, et al. Psychological impacts of COVID-19 pandemic on the university students in Egypt. Health Promot Int. 2020; 36(4): 1116-25. [Crossref]
36. . Fardin MA, Shirazi M, & Khaneghai S. The Covid Outbreak & Its Emotional Consequences: A Web-Based Cross-Sectional Survey at the Peak of the Pandemic in Iran. Ann Mil Health Sci Res 2020, 18(4). doi: 10.5812/amh.109630 (added in the list) [Crossref]
37. Shahriarirad R, Erfani A, Ranjbar K, Bazrafshan A, Mirahmadizadeh A. The mental health impact of COVID-19 outbreak: a Nationwide Survey in Iran. Int J Ment Health Syst. 2021; 15(1) :19. [Crossref]
38. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020; 287: 112934. [Crossref]
39. van Niekerk R, van Gent M. Mental health and well-being of university staff during the coronavirus disease 2019 levels 4 and 5 lockdown in an Eastern Cape university, South Africa. S Afr J Psychiatr. 2021; 27: 1589. [doi: 10.4102/sajpsychiatry.v27i0.1589] [Crossref]
40. Dratva J, Zysset A, Schlatter N, von Wyl A, Huber M, Volken T. Swiss University Students' Risk Perception and General Anxiety during the COVID-19 Pandemic. Int J Environ Res Public Health. 2020; 17(20): 7433. [Crossref]
41. Ogunsemi J, Akinnawo E, Akpunne B, Ariyo J. Perceived Vulnerability to COVID-19 Infection and Psychosocial Well-Being of Nigerian Residents. Int J Innovative Research in Medical Science. 2020;5(11):533-541. [ https://doi.org/10.23958/ijirms/vol05-i11/991 [Crossref]
42. Tan B, Chew N, Lee G, Jing M, Goh Y, Yeo L, et al. Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Ann Intern Med. 2020; 173(4): 317-20. [Crossref]
43. Alkhamees A, Alrashed S, Alzunaydi A, Almohimeed A, Aljohani M. The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Compr Psychiatry. 2020; 102: 152192. [doi: 10.1016/j.comppsych.2020.152192] [Crossref]
44. Roy D, Tripathy S, Kar S, Sharma N, Verma S, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatr. 2020; 51:102083. [Crossref]
45. Kamal N, Othman N. Depression, Anxiety, and Stress in the time of COVID-19 Pandemic in Kurdistan Region, Iraq. Kurd J Appl Res. 2020: 37-44. [Crossref]
46. Vujanovic A, Lebeaut A, Leonard S. Exploring the impact of the COVID-19 pandemic on the mental health of first responders. Cogn Behav Ther. 2021; 50(4): 320-35. [Crossref]
47. Greenhalgh T, Knight M, A'Court C, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020; 370: m3026. [doi: 10.1136/bmj.m3026] [Crossref]
48. Zadeh A. Who Experience Higher Level of Anxiety During COVID-19 Outbreak?. Psychol Ment Health Care. 2020; 5(1): 1-4. [ https://doi.org/10.31579/2637-8892/093 [Crossref]
49. Nittayasoot N, Suphanchaimat R, Namwat C, Dejburum P, Tangcharoensathien V. Public health policies and health-care workers' response to the COVID-19 pandemic, Thailand. Bull World Health Organ. 2021; 99(4): 312-18. [doi:10.2471/BLT.20.275818] [Crossref]

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