Mental health impact by COVID-19 in hospitalized patients sample in Mexico City
Abstract
One of the consequences of pandemic is the increase in the prevalence of mental alterations such as anxiety, depression and stress. Since here, we aimed to determinate through a transversal and observational study prevalence of stress, anxiety and depression within hospitalized patients by COVID-19 as well as their likely association with the emotional impact received by relatives with hospitalized patients by COVID-19. Forty-five COVID-19 hospitalized patients with mean age of 54.4 ± 9.6 years and fifty-five relatives with mean age of 43.2 ± 11.8 years answered a questions battery and DASS-21 survey. Our results revealed high prevalence of depression, anxiety and stress assessed by DASS-21 subscales. We also identified risk factors associated with the emotional health such as age (< 50 years: depression OR = 2.99 [1.31, 6.80], p < .05 and anxiety OR = 2.83 [1.15, 6.93], p < .05), by gender (female: anxiety OR = 4.13 [1.57, 10.89], p < .05 and stress OR = 5.38 [2.27, 12.8], p < .05), by group of study (relatives: depression OR = 3.83 [1.63, 8.96]; p < .05, anxiety OR = 3.60 [1.46, 8.88]; p < .05 and stress OR = 3.30 [1.41, 7.70]; p < .05). Additionally, female gender and low socioeconomic status in patients (β = 3.23; 1.96) and relatives (β = 1.86; 2.31) were associated with higher scores in anxiety (p < .05) and stress (p < .05). We concluded that our sample of COVID-19 patients maintain a high prevalence of mental alterations and age, gender and socioeconomic status modify the magnitude of these disorders.
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Abbasi-Oshaghi, E., Mirzaei, F., Farahani, F., Khodadadi, I., & Tayebinia, H. (2020). Diagnosis and treatment of coronavirus disease 2019 (COVID-19): Laboratory, PCR, and chest CT imaging findings. International Journal of Surgery.
Acuna-Zegarra, M. A., Comas-Garcia, A., Hernandez-Vargas, E., Santana-Cibrian, M., & Velasco-Hernandez, J. X. (2020). The SARS-CoV-2 epidemic outbreak: a review of plausible scenarios of containment and mitigation for Mexico. medRxiv.
Agarwal, T. M., Muneer, M., Asim, M., Awad, M., Afzal, Y., Al-Thani, H., Alhassan, A., Mollazehi, M., & El-Menyar, A. (2020). Psychological trauma in different mechanisms of traumatic injury: A hospital-based cross-sectional study. PLoS ONE, 15(11).
Al Zubayer, A., Rahman, M. E., Islam, M. B., Babu, S. Z. D., Rahman, Q. M., Bhuiyan, M. Khan, M., Chowdhury, M., Hossain, L., & Habib, R. B. (2020). Psychological states of Bangladeshi people four months after the COVID-19 pandemic: an online survey. Heliyon, 6(9), e05057.
Arrieta, O., Lara-Mejía, L., Bautista-GonzÁlez, E., Heredia, D., Turcott, J. G., BarrÓn, F., Ramos-Ramírez, M., Cabrera-Miranda, L., Salinas Padilla, M. Á., Aguerrebere, M., Cardona, A. F., Rolfo, C., Arroyo-HernÁndez, M., Soto-Pérez-de-Celis, E., & Baéz-Saldaña, R. (2021). Clinical Impact of the COVID-19 Pandemic in Mexican Patients with Thoracic Malignancies. The Oncologist, 26(12), 1035–1043.
Bados, A., Solanas, A., & Andrés, R. (2005). Psycometric properties of the Spanish version of Depression,Anxiety and Stress Scales (DASS). Psicothema, 17(4), 679–683.
Bautista, C. F., Velázquez, J. V., Icaza, M. E. M. M., López, M. M., López, M. d. L. G., & Robles, N. O. (2012). Sociodemographic and personal factors related to depressive symptomatology in the Mexican population aged 12 to 65. Revista Brasileira de Psiquiatria, 34(4), 395-404.
Beck, K., Vincent, A., Becker, C., Keller, A., Cam, H., Schaefert, R., Reinhardt, T., Sutter, R., Tisljar, K., Bassetti, S., Schuetz, P., & Hunziker, S. (2021). Prevalence and factors associated with psychological burden in COVID-19 patients and their relatives: A prospective observational cohort study. PLOS ONE, 16(5).
Bermudez, J. M., & Mancini, J. A. (2013). Familias fuertes: Family resilience among Latinos. In Handbook of family resilience (pp. 215-227): Springer.
Bhat, B. A., Mir, R. A., Hussain, A., & Shah, I. R. (2020). Depressive and anxiety symptoms, quality of sleep, and coping during the 2019 coronavirus disease pandemic in general population in Kashmir. Middle East Current Psychiatry, 27(1), 1-10.
Burki, T. (2020). The indirect impact of COVID-19 on women. The Lancet Infectious Diseases, 20(8), 904-905.
Canet-Juric, L., Andrés, M. L., Del Valle, M., López-Morales, H., Poó, F., Galli, J. I., Yerro, M., & Urquijo, S. (2020). A longitudinal study on the emotional impact cause by the COVID-19 pandemic quarantine on general population. Frontiers in psychology, 11, 2431.
Chen, L., Deng, C., Chen, X., Zhang, X., Chen, B., Yu, H., Qin, Y., Xiao, K., Zhang, H., & Sun, X. (2020). Ocular manifestations and clinical characteristics of 535 cases of COVID‐19 in Wuhan, China: a cross‐sectional study. Acta ophthalmologica, 98(8), e951-e959.
Cortés-Álvarez, N. Y., Pineiro-Lamas, R., & Vuelvas-Olmos, C. R. (2020). Psychological effects and associated factors of COVID-19 in a Mexican sample. Disaster medicine and public health preparedness, 14(3), 413-424.
Daza, P., Novy, D. M., Stanley, M. A., & Averill, P. (2002). The Depression Anxiety Stress Scale-21: Spanish Translation and Validation with a Hispanic Sample. Journal of Psychopathology and Behavioral Assessment 2002 24:3, 24(3), 195–205.
Delsante, M., Rossi, G. M., Gandolfini, I., Bagnasco, S. M., & Rosenberg, A. Z. (2020). Kidney involvement in COVID-19: Need for better definitions. Journal of the American Society of Nephrology, 31(9), 2224-2225.
Dorrell, R. D., Dougherty, M. K., Barash, E. L., Lichtig, A. E., Clayton, S. B., & Jensen, E. T. (2020). Gastrointestinal and hepatic manifestations of COVID‐19: A systematic review and meta‐analysis. JGH Open, 5(1), 107-115.
Dosil-Santamaria, M., Ozamiz-Etxebarria, N., Mondragon, N. I., Reyes-Sosa, H., & Santabárbara, J. (2022). Emotional State of Mexican University Students in the COVID-19 Pandemic. International Journal of Environmental Research and Public Health 2022, Vol. 19, Page 2155, 19(4), 2155.
Du, Y., Tu, L., Zhu, P., Mu, M., Wang, R., Yang, P., Wang, X., Hu, C., Ping, R., Hu, P., Li, T., Cao, F., Chang, C., Hu, Q., Jin, Y., & Xu, G. (2020). Clinical features of 85 fatal cases of COVID-19 from Wuhan. A retrospective observational study. American journal of respiratory and critical care medicine, 201(11), 1372-1379.
Erman, A., & Medeiros, M. (2021). Exploring the effect of collective cultural attributes on COVID-19-related public health outcomes. Frontiers in psychology, 12, 884.
Gandhi, R. T., Lynch, J. B., & Del Rio, C. (2020). Mild or moderate Covid-19. New England journal of medicine, 383(18), 1757-1766.
Gottlieb, M., & Long, B. (2020). Dermatologic manifestations and complications of COVID-19. The American journal of emergency medicine, 38(9), 1715-1721.
Guo, W. P., Min, Q., Gu, W. W., Yu, L., Xiao, X., Yi, W. B.Dai, Y.-J. (2021). Prevalence of mental health problems in frontline healthcare workers after the first outbreak of COVID-19 in China: a cross-sectional study. Health and quality of life outcomes, 19(1), 1-10.
Harangi-Rákos, M., Pfau, C., Bába, É. B., Bács, B. A., & Kőmíves, P. M. (2022). Lockdowns and Physical Activities: Sports in the Time of COVID. In International Journal of Environmental Research and Public Health, 19(4), 2175.
Jacobson, N. C., Lekkas, D., Price, G., Heinz, M. V., Song, M., O’Malley, A. J., & Barr, P. J. (2020). Flattening the mental health curve: COVID-19 stay-at-home orders are associated with alterations in mental health search behavior in the United States. JMIR mental health, 7(6), e19347.
Josephson, S. A., & Kamel, H. (2020). Neurology and COVID-19. Jama, 324(12), 1139-1140.
Koenig, H. G. (2020). Maintaining health and well-being by putting faith into action during the COVID-19 pandemic. Journal of religion and health, 59, 2205-2214.
Kumar, K., Kumar, S., Mehrotra, D., Tiwari, S. C., Kumar, V., Khandpur, S., & Dwivedi, R. C. (2018). Prospective evaluation of psychological burden in patients with oral cancer. The British Journal of Oral & Maxillofacial Surgery, 56(10), 918–924.
Kunutsor, S. K., & Laukkanen, J. A. (2020). Hepatic manifestations and complications of COVID-19: A systematic review and meta-analysis. Journal of Infection, 81(3), e72-e74.
Matalon, N., Dorman-Ilan, S., Hasson-Ohayon, I., Hertz-Palmor, N., Shani, S., Basel, D., Gross, R., Chen, W., Abramovich, A., Afek, A., Ziv, A., Kreiss, Y., Pessach, I. M., & Gothelf, D. (2021). Trajectories of post-traumatic stress symptoms, anxiety, and depression in hospitalized COVID-19 patients: A one-month follow-up. Journal of psychosomatic research, 143, 110399.
Medina-Mora, M. E. (2020). COVID-19 and mental health: Challenges and opportunities. Salud Mental, 43(6), 241-242.
Medina-Mora, M. E., Cordero-Oropeza, M., Rafful, C., Real, T., & Villatoro‐Velazquez, J. A. (2021). COVID‐19 and alcohol in Mexico: A serious health crisis, strong actions on alcohol in response—Commentary on Stockwell et al. Drug and alcohol review, 40(1), 13-16.
Mena, G. E., Martinez, P. P., Mahmud, A. S., Marquet, P. A., Buckee, C. O., & Santillana, M. (2021). Socioeconomic status determines COVID-19 incidence and related mortality in Santiago, Chile. Science, 372(6545).
Ng, F., Trauer, T., Dodd, S., Callaly, T., Campbell, S., & Berk, M. (2007). The validity of the 21‐item version of the Depression Anxiety Stress Scales as a routine clinical outcome measure. Acta neuropsychiatrica, 19(5), 304-310.
Norton, P. J. (2007). Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups. Anxiety, Stress and Coping, 20(3), 253–265.
Odriozola-González, P., Planchuelo-Gómez, Á., Irurtia, M. J., & de Luis-García, R. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry research, 290, 113108.
Orgilés, M., Morales, A., Delvecchio, E., Mazzeschi, C., & Espada, J. P. (2020). Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain. Frontiers in psychology, 11, 2986.
Pedrosa, A. L., Bitencourt, L., Fróes, A. C. F., Cazumbá, M. L. B., Campos, R. G. B., de Brito, S. B. C. S., & Simões e Silva, A. C. (2020). Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic. Frontiers in Psychology, 11, 2635.
Pieh, C., Budimir, S., & Probst, T. (2020). The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. Journal of psychosomatic research, 136, 110186.
Prado-Galbarro, F. J., Sanchez-Piedra, C., Gamiño-Arroyo, A., & Cruz-Cruz, C. (2020). Determinants of survival after severe acute respiratory syndrome coronavirus 2 infection in Mexican outpatients and hospitalised patients. Public Health, 189, 66-72.
Proto, E., & Quintana-Domeque, C. (2021). COVID-19 and mental health deterioration by ethnicity and gender in the UK. PloS one, 16(1), e0244419.
Rahman, A., Niloofa, R., Jayarajah, U., De Mel, S., Abeysuriya, V., & Seneviratne, S. L. (2021). Hematological Abnormalities in COVID-19: A Narrative Review. The American Journal of Tropical Medicine and Hygiene, 104(4), 1188.
Riello, M., Purgato, M., Bove, C., MacTaggart, D., & Rusconi, E. (2020). Prevalence of post-traumatic symptomatology and anxiety among residential nursing and care home workers following the first COVID-19 outbreak in Northern Italy. Royal Society open science, 7(9), 200880.
Robles, R., Rodríguez, E., Vega-Ramírez, H., Álvarez-Icaza, D., Madrigal, E., Durand, S., Morales-Chainé, S., Astudillo, C., Real-Ramírez, J., Medina-Mora, M. E., Becerra, C., Escamilla, R., Alcocer-Castillejos, N., Ascencio, L., Díaz, D., González, H., Barrón-Velázquez, E., Fresán, A., Rodríguez-Bores, L., Quijada-Gaytán, J. M., … Reyes-Terán, G. (2020). Mental health problems among healthcare workers involved with the COVID-19 outbreak. Brazilian Journal of Psychiatry, 43, 494-503.
Raza, M. R., Shahid, R., Umar, M., & Zeb, S. (2020). Assessment of depression, axiety and stress among Covi-19 patientes by using DASS-21 scales.
Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., Rasoulpoor, S., & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Globalization and Health, 16(1), 1–11
Seyahi, E., Poyraz, B. C., Sut, N., Akdogan, S., & Hamuryudan, V. (2020). The psychological state and changes in the routine of the patients with rheumatic diseases during the coronavirus disease (COVID-19) outbreak in Turkey: a web-based cross-sectional survey. Rheumatology international, 40(8), 1229-1238.
Sheth, K., Lorig, K., Stewart, A., Parodi, J. F., & Ritter, P. L. (2020). Effects of COVID-19 on Informal Caregivers and the Development and Validation of a Scale in English and Spanish to Measure the Impact of COVID-19 on Caregivers. Journal of Applied Gerontology, 0733464820971511.
Stanton, R., To, Q. G., Khalesi, S., Williams, S. L., Alley, S. J., Thwaite, T. L., Fenning, A.S., & Vandelanotte, C. (2020). Depression, anxiety and stress during COVID-19: associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. International journal of environmental research and public health, 17(11), 4065.
Sun, N., Wei, L., Wang, H., Wang, X., Gao, M., Hu, X., & Shi, S. (2021). Qualitative study of the psychological experience of COVID-19 patients during hospitalization. Journal of affective disorders, 278, 15-22.
Tausch, A., e Souza, R. O., Viciana, C. M., Cayetano, C., Barbosa, J., & Hennis, A. J. (2022). Strengthening mental health responses to COVID-19 in the Americas: A health policy analysis and recommendations. Lancet Regional Health. Americas, 5, 100118
Tayyib, N. M. (2021). An action plan to address the mental health impact of COVID-19 on communities: Five effective strategies. Psychological Services.
Titov, N., Staples, L., Kayrouz, R., Cross, S., Karin, E., Ryan, K., Dear, B., & Nielssen, O. (2020). Rapid report: Early demand, profiles and concerns of mental health users during the coronavirus (COVID-19) pandemic. Internet Interventions, 21, 100327.
Varma, P., Junge, M., Meaklim, H., & Jackson, M. L. (2021). Younger people are more vulnerable to stress, anxiety and depression during COVID-19 pandemic: A global cross-sectional survey. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 109, 110236.
Vulić-Prtorić, A., Selak, M. B., & Sturnela, P. (2020). The psychological distress in students during the COVID-19 crisis: An 8-wave longitudinal study.
Zandifar, A., & Badrfam, R. (2020). Iranian mental health during the COVID-19 epidemic. Asian Journal of Psychiatry, 51, 101990.
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The gerontologist, 20(6), 649-655.
Zeiders, K. H., Roosa, M. W., & TEIN, J. Y. (2011). Family structure and family processes in Mexican‐American families. Family process, 50(1), 77-91.
Zheng, Y., Goh, E., & Wen, J. (2020). The effects of misleading media reports about COVID-19 on Chinese tourists’ mental health: a perspective article. Anatolia, 31(2), 337-340.
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