Post-traumatic Stress Disorder after the first wave of the Pandemic in Hospitalized COVID-19 Patients and Health Professionals in a Front-line Spanish Tertiary Hospitala retrospective observational study

  1. Irene Rodrigo Holgado 1
  2. Carolina Elisa Combarro Ripoll 1
  3. Alba Juanes González 1
  4. María Jesús Del Yerro 1
  5. Sara Solera Mena 1
  6. Gabriel Rubio 2
  7. Juan D. Molina 3
  1. 1 12 de Octubre University Hospital
  2. 2 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  3. 3 Universidad Francisco de Vitoria
    info

    Universidad Francisco de Vitoria

    Pozuelo de Alarcón, España

    ROR https://ror.org/03ha64j07

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Revista:
Ansiedad y estrés

ISSN: 1134-7937

Año de publicación: 2023

Título del ejemplar: (September - December 2023)

Volumen: 29

Número: 3

Páginas: 137-143

Tipo: Artículo

DOI: 10.5093/ANYES2023A17 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Ansiedad y estrés

Resumen

The COVID-19 pandemic had a serious impact on mental health, associated with Post Traumatic Stress Disorder (PTSD) after infection and within healthcare professionals. We propose to compare the semiology, evolution and trauma-associated variables between both groups in a sample of patients. An observational retrospective study was performed, including 42 hospitalized COVID-19 patients and 31 health professionals, treated at the Mental Health Service of the Hospital 12 de Octubre, between June 2020/21, with a diagnosis of PTSD. Mental state evaluation was performed through a standard clinical interview. Additionally, the 8-item treatment-outcome post-traumatic stress disorder scale (TOP-8) was administered. Demographic data, variables related to hospital stay and pre/peri/post-trauma variables considered of interest were collected. All analyses were performed using the Stata 16 program. Health professionals showed higher levels of recovery, however no significant differences were found in the initial severity of the PTSD. Regarding the symptom pattern it was similar between both groups, except that professionals presented more dissociation during the traumatic event. In general, the subjects presented mainly intrusive symptoms, hyperarousal and sleep-related difficulties. Having witnessed suffering or death, and the gypsy ethnic group, were the variables with the greatest impact in the PTSD severity. These results suggest that the COVID-19 leaves important psychological sequelae such as PTSD, both in infection survivors and in health professionals. Differences found could be due to dissimilarities in coping resources and therapeutic adherence styles. We consider that knowing the variables involved can help improve intervention in these vulnerable groups.

Referencias bibliográficas

  • American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Washington, DC: APA.
  • Badenoch, J. B., Rengasamy, E. R., Watson, C., Jansen, K., Chakraborty, S., Sundaram, R. D., ... & Rooney, A. G. (2022). Persistent neuropsychiatric symptoms after COVID-19: a systematic review and meta-analysis. Brain communications, 4(1), fcab297. https://doi.org/10.1093/braincomms/fcab297
  • Bobes, J., Calcedo-Barba, A., García, M., Francois, M., Rico-Villademoros, F., González, M. P., & Bousoño, M. (2000). Evaluación de las propiedades psicométricas de la versión española de cinco cuestionarios para la evaluación del trastorno de estrés postraumático [Evaluation of the psychometric properties of the Spanish version of five questionnaires for the assessment of post-traumatic stress disorders]. Actas Españolas de Psiquiatría, 28(4), 207–218.
  • Braquehais, M. D., Vargas-Cáceres, S., Gómez-Durán, E., Nieva, G., Valero, S., Casas, M., & Bruguera, E. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: An International Journal of Medicine, 113(9), 613–617. https://doi.org/10.1093/qjmed/hcaa207
  • Bridgland, V., Moeck, E. K., Green, D. M., Swain, T. L., Nayda, D. M., Matson, L. A., … & Takarangi, M. (2021). Why the COVID-19 pandemic is a traumatic stressor. PloS one, 16(1), e0240146. https://doi.org/10.1371/journal.pone.0240146
  • Campos, J. A. D. B., Campos, L. A., Martins, B. G., Valadão Dias, F., Ruano, R., & Maroco, J. (2022). The Psychological Impact of COVID-19 on Individuals With and Without Mental Health Disorders. Psychological reports, 125(5), 2435–2455. https://doi.org/10.1177/00332941211026850
  • Cooke, J. E., Eirich, R., Racine, N., & Madigan, S. (2020). Prevalence of posttraumatic and general psychological stress during COVID-19: A rapid review and meta-analysis. Psychiatry Research, 292, 113347. https://doi.org/10.1016/j.psychres.2020.113347
  • Craparo, G., La Rosa, V. L., Marino, G., Vezzoli, M., Cinà, G. S., Colombi, M., … & Mangiapane, E. (2022). Risk of post-traumatic stress symptoms in hospitalized and non-hospitalized COVID-19 recovered patients. A cross-sectional study. Psychiatry research, 308, 114353. https://doi.org/10.1016/j.psychres.2021.114353
  • Davidson, J.R., & Colket, J.T. (1997). The eight-item treatment-outcome post-traumatic stress disorder scale: a brief measure to assess treatment outcome in post-traumatic stress disorder. International Clinical Psychopharmacology, 12, 41–46. https://10.1097/00004850-199701000-00006
  • Fournier, A., Laurent, A., Lheureux, F., Ribeiro-Marthoud, M. A., Ecarnot, F., Binquet, C., & Quenot, J. P. (2022). Impact of the COVID-19 pandemic on the mental health of professionals in 77 hospitals in France. PloS one, 17(2), e0263666. https://doi.org/10.1371/journal.pone.0263666
  • Galea, S., Brewin, C. R., Gruber, M., Jones, R. T., King, D. W., King, L. A., … & Kessler, R. C. (2007). Exposure to hurricane-related stressors and mental illness after Hurricane Katrina. Archives of general psychiatry, 64(12), 1427–1434. https://doi.org/10.1001/archpsyc.64.12.1427
  • González-Sanguino, C., Ausín, B., Castellanos, M. Á., Saiz, J., López-Gómez, A., Ugidos, C., & Muñoz, M. (2020). Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain, behavior, and immunity, 87, 172–176. https://doi.org/10.1016/j.bbi.2020.05.040
  • Grassi, L., & Magnani, K. (2000). Psychiatric morbidity and burnout in the medical profession: an Italian study of general practitioners and hospital physicians. Psychotherapy and psychosomatics, 69(6), 329-334. https://doi.org/10.1159/000012416
  • Huang, L., Xu, X., Zhang, L., Zheng, D., Liu, Y., Feng, B., … & Zhang, Z. (2022). Post-traumatic Stress Disorder Symptoms and Quality of Life of COVID-19 Survivors at 6-Month Follow-Up: A Cross-Sectional Observational Study. Frontiers in psychiatry, 12, 782478. https://doi.org/10.3389/fpsyt.2021.782478
  • Janiri, D., Carfì, A., Kotzalidis, G. D., Bernabei, R., Landi, F., Sani, G., & Gemelli Against COVID-19 Post-Acute Care Study Group. (2021). Posttraumatic stress disorder in patients after severe COVID-19 infection. JAMA Psychiatry, 78(5), 567–569. https://doi.org/10.1001/jamapsychiatry.2021.0109
  • Ju, Y., Liu, J., Ng, R. M., Liu, B., Wang, M., Chen, W., … & Zhang, Y. (2021). Prevalence and predictors of post-traumatic stress disorder in patients with cured coronavirus disease 2019 (COVID-19) one month postdischarge. European Journal of Psychotraumatology, 12(1), 1915576. https://doi.org/10.1080/20008198.2021.1915576
  • Krishnamoorthy, Y., Nagarajan, R., Saya, G. K., & Menon, V. (2020). Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID-19 pandemic: A systematic review and meta- analysis. Psychiatry research, 293, 113382. https://doi.org/10.1016/j.psychres.2020.113382
  • Lee, A. M., Wong, J. G., McAlonan, G. M., Cheung, V., Cheung, C., Sham, P. C., … & Chua, S. E. (2007). Stress and Psychological Distress among SARS Survivors 1 Year after the Outbreak. The Canadian Journal of Psychiatry, 52(4), 233–240. https://doi.org/10.1177/070674370705200405
  • Li, X., Aida, J., Hikichi, H., Kondo, K., & Kawachi, I. (2019). Association of Postdisaster Depression and Posttraumatic Stress Disorder With Mortality Among Older Disaster Survivors of the 2011 Great East Japan Earthquake and Tsunami. JAMA network open, 2(12), e1917550. https://doi.org/10.1001/jamanetworkopen.2019.17550
  • Liu, C. H., Zhang, E., Wong, G., Hyun, S., & Hahm, H. C. (2020). Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health.Psychiatry research,290, 113172. https://doi.org/10.1016/j.psychres.2020.113172
  • Maunder, R. G., Lancee, W. J., Balderson, K. E., Bennett, J. P., Borgundvaag, B., Evans, S., … & Wasylenki, D. A. (2006). Long-term Psychological and Occupational Effects of Providing Hospital Healthcare during SARS Outbreak. Emerging Infectious Diseases, 12(12), 1924-1932. https://doi.org/10.3201/eid1212.060584
  • Maunder, R. G., Leszcz, M., Savage, D., Adam, M. A., Peladeau, N., Romano, D., … & Schulman, B. (2008). Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers. Canadian journal of public health = Revue canadienne de sante publique, 99(6), 486–488. https://doi.org/10.1007/BF03403782
  • Molina, J. D., Rodrigo Holgado, I., Juanes González, A., Combarro Ripoll, C. E., Lora Pablos, D., Rubio, G., … & Rivas-Clemente, F. (2022). Neuropsychological Symptom Identification and Classification in the Hospitalized COVID-19 Patients During the First Wave of the Pandemic in a Front-Line Spanish Tertiary Hospital. Frontiers in psychiatry, 13, 838239. https://doi.org/10.3389/fpsyt.2022.838239
  • Oyat, F. W. D., Oloya, J. N., Atim, P., Ikoona, E. N., Aloyo, J., & Kitara, D. L. (2022). The psychological impact, risk factors and coping strategies to COVID-19 pandemic on healthcare workers in the sub-Saharan Africa: a narrative review of existing literature. BMC psychology, 10(1), 284. https://doi.org/10.1186/s40359-022-00998-z
  • Parker, A. M., Sricharoenchai, T., Raparla, S., Schneck, K. W., Bienvenu, O. J., & Needham, D. M. (2015). Posttraumatic stress disorder in critical illness survivors: A metaanalysis. Critical Care Medicine, 43(5) 1121-1129.https://10.1097/CCM.0000000000000882
  • Rogers, J. P., Chesney, E., Oliver, D., Pollak, T. A., McGuire, P., Fusar-Poli, … & David, A. S. (2020). Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: A systematic review and meta-analysis with comparison to the COVID-19 pandemic. The Lancet Psychiatry, 7(7), 611–627. https://doi.org/10.1016/S2215-0366(20)30203-0
  • Salanti, G., Peter, N., Tonia, T., Holloway, A., White, I. R., Darwish, L., Low, N., Egger, M., Haas, A. D., Fazel, S., Kessler, R. C., Herrman, H., Kieling, C., De Quervain, D. J. F., Vigod, S. N., Patel, V., Li, T., Cuijpers, P., Cipriani, A., Furukawa, T. A., … MHCOVID Crowd Investigators† (2022). The Impact of the COVID-19 Pandemic and Associated Control Measures on the Mental Health of the General Population : A Systematic Review and Dose-Response Meta-analysis. Annals of internal medicine, 175(11), 1560–1571. https://doi.org/10.7326/M22-1507
  • Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(Suppl 20), 22–33
  • Taylor, M., Petrakis, I., & Ralevski, E. (2017). Treatment of alcohol use disorder and co-occurring PTSD. The American Journal of Drug and Alcohol Abuse, 43(4), 391-401. https://doi.org/10.1080/00952990.2016.1263641
  • Wang, B., Yang, X., Fu, L., Hu, Y., Luo, D., Xiao, X., … & Zou, H. (2021). Posttraumatic Stress Disorder Symptoms in COVID-19 Survivors 6 Months After Hospital Discharge: An Application of the Conservation of Resource Theory. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.773106
  • WHO Coronavirus (COVID-19) Dashboard [online]: https://covid19.who.int/
  • WHO Coronavirus (COVID-19) Overview: https://www.who.int/europe/emergencies/situations/covid-19
  • World Health Organization, 2020. WHO Director-General’s Opening Remarks At The Media Briefing On COVID-19 - 11 March 2020 [online]: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
  • Xiao, S., Luo, D., & Xiao, Y. (2020). Survivors of COVID-19 are at high risk of posttraumatic stress disorder. Global health research and policy, 5, 29. https://doi.org/10.1186/s41256-020-00155-2
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