Psychiatric Findings in Suspected and Confirmed Middle East Respiratory Syndrome Patients Quarantined in Hospital: A Retrospective Chart Analysis
2
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
Objective Little is known about the psychiatric complications or risk factors for depression in suspected or confirmed Middle East Respiratory Syndrome (MERS) patients quarantined in hospital. Methods A retrospective chart review was performed of all the patients admitted to the acute MERS inpatient unit at the NMC during the 2015 outbreak. Results 30 (75%) were confirmed to be MERS-CoV positive among 40 admitted cases. Among the 24 MERS survivors, 17 (70.8%) exhibited psychiatric symptoms and 10 (41.7%) received a psychiatric diagnosis and medication during their hospital stay. Suspected MERS patients did not exhibit psychiatric symptoms or receive a psychiatric diagnosis. 27 suspected or confirmed MERS patients (age 41.15±18.64, male 37.0%) completed psychological assessments. A multiple linear regression analysis revealed that the Korean National Health and Nutrition Examination Survey-Short form and the Impact of Event Scale-Revised scores were significantly positively correlated with Patient Health Questionnaire-9 scores. Conclusion Our findings indicate that the acute treatment of MERS-CoV infections in quarantine had a significant impact on the patients’ mental health. Furthermore, assessment of the risk factors for depression may identify vulnerable patients who require psychiatric care and attention during hospital quarantine.
Abstract
Objective Little is known about the psychiatric complications or risk factors for depression in suspected or confirmed Middle East Respiratory Syndrome (MERS) patients quarantined in hospital. Methods A retrospective chart review was performed of all the patients admitted to the acute MERS inpatient unit at the NMC during the 2015 outbreak. Results 30 (75%) were confirmed to be MERS-CoV positive among 40 admitted cases. Among the 24 MERS survivors, 17 (70.8%) exhibited psychiatric symptoms and 10 (41.7%) received a psychiatric diagnosis and medication during their hospital stay. Suspected MERS patients did not exhibit psychiatric symptoms or receive a psychiatric diagnosis. 27 suspected or confirmed MERS patients (age 41.15±18.64, male 37.0%) completed psychological assessments. A multiple linear regression analysis revealed that the Korean National Health and Nutrition Examination Survey-Short form and the Impact of Event Scale-Revised scores were significantly positively correlated with Patient Health Questionnaire-9 scores. Conclusion Our findings indicate that the acute treatment of MERS-CoV infections in quarantine had a significant impact on the patients’ mental health. Furthermore, assessment of the risk factors for depression may identify vulnerable patients who require psychiatric care and attention during hospital quarantine.
참고문헌 (12)
- Cho SY, "MERS-CoV outbreak following a single patient exposure in an emergency room in South Korea: an epidemiological outbreak study", Lancet, 388, pp.994~1001 (2016)[DOI]
- Cheng SKW, "Psychiatric complications in patients with severe acute respiratory syndrome (SARS) during the acute treatment phase: a series of 10 cases", Br J Psychiatry, 184, pp.359~360 (2004)[DOI]
- Kroenke K, "The PHQ-9: a new depression diagnostic and severity measure", Psychiatr Ann, 32, pp.509~515 (2002)[DOI]
- Lim HK, "Disaster Psychiatry Committee in Korean Academy of Anxiety Disorders. Reliability and validity of the Korean version of the Impact of Event Scale-Revised", Compr Psychiatry, 50, pp.385~390 (2009)[DOI]
- Development of the Stress Questionnaire for KNHANES: Report of Scientific Study Service, "Lee ES", Korea Centers for Disease Control and Prevention, ~ (2010)
- 주혜선, "외상후 위기 체크리스트: 개발 및 타당화 연구", 한국심리학회지:일반, 27(1), pp.235~257 (2008), 한국심리학회
- Wing YK, "Mental health impact of severe acute respiratory syndrome: a prospective study", Hong Kong Med J, 18(Suppl 3), pp.24~27 (2012)
- Cheng SK, "Psychological distress and negative appraisals in survivors of Severe Acute Respiratory Syndromes (SARS)", Psychol Med, 34, pp.1187~1195 (2003)
- Lee AM, "Stress and psychological distress among SARS survivors 1 year after the outbreak", Can J Psychiatry, 52, pp.233~240 (2007)[DOI]
- Mak IWC, "Long-term psychiatric morbidities among SARS survivors", Gen Hosp Psychiatry, 31, pp.318~326 (2009)[DOI]
- Stanga Z, "The effect of nutritional management on the mood of malnourished patients", Clin Nutr, 26, pp.379~382 (2007)[DOI]
- Este JA, "Current status and challenges of antiretroviral research and therapy", Antivir Res, 85, pp.25~33 (2010)[DOI]