Investigations of Psychiatrist requested consulting for admitted COVID-19 patients of Arak University of Medical Sciences affiliated hospitals

Document Type : Original Article

Authors

1 Department of Psychiatry, School of Medicine, Arak University of Medical Sciences, Arak, Iran

2 Department of Anesthesiology and Critical Care, School of Medicine Arak University of Medical Sciences, Arak, Iran

3 Department of Biostatistics, School of Medicine, Arak University of Medical Sciences, Arak, Iran

4 Department of Infectious Disease, School of Medicine, Arak University of Medical Sciences, Arak, Iran

5 School of Medicine, Arak University of Medical Sciences, Arak, Iran

Abstract

Background and Objective: As with other diseases during COVID-19, there are psychiatric aspects that require monitoring. The main objective of this study was to investigate the variation of psychiatric consultations requested in hospitalized patients with COVID-19 and the relationship between these consultations and patient prognosis.
Materials and Methods: In this cross-sectional study, the patients included those were  from admitted to the COVID-19 departments of Arak University of Medical Sciences. DSM-5 criteria were reviewed.
Results: This study has shown that approximately 5.9% of COVID-19 patients admitted to hospitals have experienced psychiatric disorders, with delirium being the most common manifestation, especially among older individuals. The occurrence of delirium is significantly associated with higher mortality rates and low blood oxygen levels (p<0.05). The relationship between gender and specific psychiatric disorders was also investigated, revealing a significant correlation with anxiety, depression, and delirium (p<0.05). Moreover, concerning delirium disorder, a meaningful correlation was found with the prevalence and a history of neurological and psychiatric disorders (p<0.05).
Conclusion: By examining the patients, variety of consultations were divided into three categories: depression disorders, anxiety disorders, and delusions. It was found that the most common category which was clearly related to the death of patients was delusions.Therefore, the history of delirium disorder in the patient as well as the occurrence of delirium during hospitalization are important risk factors for patient mortality.

Keywords

Main Subjects

References

  1. Lai MM, Cavanagh D. The molecular biology of coronaviruses. Advances in Virus Research 1997;48:1-100. doi: 10.1016/S0065-3527(08)60286-9. PMID: 9233431; PMCID: PMC7130985.
  2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in china 2019. The New England Journal of Medicine 2020 ;382(8):727-733.
  3. Zarghami, M. Psychiatric aspects of coronavirus (2019-nCoV) infection. Iranian Journal of Psychiatry and Behavioral Sciences 2020; (1)1. https://doi.org/10.5812/ijpbs.102957
  4. Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. COVID-19 biob outpatient clinic study group; benedetti f. anxiety and depression in covid-19 survivors: role of inflammatory and clinical predictors. Brain, Behavior, and Immunity 2020 ;89:594-600. doi: 10.1016/j.bbi.2020.07.037. Epub 2020 Jul 30. PMID: 32738287; PMCID: PMC7390748.
  5. Rice TW, Wheeler AP, Thompson BT, deBoisblanc BP, Steingrub J, Rock P. NIH NHLBI acute respiratory distress syndrome network of investigators. enteral omega-3 fatty acid, gamma-linolenic acid, and antioxidant supplementation in acute lung injury. Journal of the American Medical Association 2011;306(14):1574-81. doi: 10.1001/jama.2011.1435. Epub 2011 Oct 5. Erratum in: JAMA. 2012 Feb 8;307(6):563. PMID: 21976613; PMCID: PMC3770348.
  6. Shah A, Banner N, Heginbotham C, Fulford B. American psychiatric association (2013) diagnostic and statistical manual of mental disorders 5th Ed. American Psychiatric Publishing, Arlington, VA.
  7. Bechara A, Dolan S, Hindes A. Decision-making and addiction (Part II): myopia for the future or hypersensitivity to reward? Neuropsychologia 2002; 40:1690–
  8. Office of Public Sector Information (2005) The Mental Capacity Act 2005- http://www. Substance Use and Older People. 2014;21(5):9.
  9. Callea A, Conti G, Fossati B, Carassale L, Zagaria M, Caporotundo S, et al. Delirium in hospitalized patients with COVID-19 pneumonia: a prospective, cross-sectional, cohort study. Internal and Emergency Medicine 2022;17(5):1445-452.
  10. Mohamed MS, Moulin TC, Schiöth HB. Sex differences in COVID-19: the role of androgens in disease severity and progression. Endocrine 2021;71(1):3-8. doi: 10.1007/s12020-020-02536-6. Epub 2020 Nov 11. PMID: 33179220; PMCID: PMC7657570.
  11. Prigerson HG, Shear MK, Reynolds CF 3rd. Prolonged Grief Disorder Diagnostic Criteria-Helping Those With Maladaptive Grief Responses. JAMA Psychiatry 2022;79(4):277-278. doi: 10.1001/jamapsychiatry.2021.4201. PMID: 35107569.
Daneshvar Medicine
Volume 32, Issue 3 - Serial Number 172
September and October 2024
Pages 38-45

Files

Share

How to cite

Statistics