서울 생활치료센터에 입소한 경증 혹은 무증상 코로나19 감염자의 정신건강: 우울, 불안, 외상경험, 자살위험성에 대한 단면 분석
Mental Health of Asymptomatic or Mildly Symptomatic COVID19 Patients in the Seoul Metropolitan City Community Treatment Center: Cross Sectional Analysis of Depression, Anxiety, Trauma Experience, and Suicidal Tendency
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Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and sui- cidal tendency among patients who were hospitalized in a community treatment center and to identify the fac- tors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center be- tween March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or inter- view by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 pa- tients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively asso- ciated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COV- ID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers. (Anxiety and Mood 2022;18(2):101-108)
Abstract
Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and sui- cidal tendency among patients who were hospitalized in a community treatment center and to identify the fac- tors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center be- tween March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or inter- view by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 pa- tients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively asso- ciated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COV- ID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers. (Anxiety and Mood 2022;18(2):101-108)
참고문헌 (29)
- Nacoti M, "At the epicenter of the Covid-19 pandemic and humanitarian crises in Italy: changing perspectives on preparation and mitigation", NEJM Catal Innov Care Deliv (2020)
- Sun, P, "Clinical characteristics of hospitalized patients with SARS-CoV-2 infection : a single arm meta-analysis", Journal of Medical Virology, 92, pp.612~617 (2020)
- Kang EK, "Operating protocols of a community treatment center for isolation of patients with coronavirus disease, South Korea", Emerging Infectious Diseases, 26, pp.2329~2337 (2020)
- 현진희, "Psychosocial Support during the COVID-19 Outbreak in Korea: Activities of Multidisciplinary Mental Health Professionals", Journal of Korean Medical Science, 35(22), pp.1~13 (2020), 대한의학회[DOI]
- 박혜윤, "코로나바이러스감염증-19 환자와 자가격리자의 정신건강", 신경정신의학, 60(1), pp.11~18 (2021), 대한신경정신의학회[DOI]
- 박혜윤, "Psychological Consequences of Survivors of COVID-19 Pneumonia 1 Month after Discharge", Journal of Korean Medical Science, 35(47), pp.1~5 (2020), 대한의학회[DOI]
- Maxime T, "6-month neurological and psychiatric outcomes in 236,379 survivors of COVID-19:a retrospective cohort study using electronic health records", The Lancet Psychiatry, 8, pp.416~427 (2021)
- Wang CY, "A longitudinal study on the mental health of general population during the COVID-19 epidemic in China", Brain, Behavior, and Immunity, 87, pp.40~48 (2020)
- Lee YH, "Clinical course of asymptomatic and mildly symptomatic patients with coronavirus disease admitted to community treatment centers, South Korea", Emerg Infect Dis, 26, pp.2346~2352 (2020)
- Chen D, "Quarantine experience of close contacts of COVID-19 patients in China : a qualitative descriptive study", Gen Hosp Psychiatry, 66, pp.81~88 (2020)
- Korenke K, "The patient health questionnaire-2 : validity of a two-item depression screener", Med Care, 41, pp.1284~1292 (2003)
- Choi HS, "Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder", Korean J Fam Med, 28, pp.114~119 (2007)
- Swinson RP, "The GAD-7 scale was accurate for diagnosing generalised anxiety disorder", Evid Based Med, 11, pp.184~ (2006)
- Kroenke K, "Anxiety disorders in primary care : prevalence, impairment, comorbidity, and detection", Ann Intern Med, 146, pp.317~325 (2007)
- Seo JG, "Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine", J Headache Pain, 16, pp.97~ (2015)
- Prins A, "The Primary Care PTSD Screen for DSM-5(PC-PTSD-5) : development and evaluation within a Veteran primary care sample", J GEN INTERN MED, 31, pp.1206~1211 (2016)
- 정영은, "A Brief Screening Tool for PTSD: Validation of the Korean Version of the Primary Care PTSD Screen for DSM-5 (K-PC-PTSD-5)", Journal of Korean Medical Science, 33(52), pp.1~5 (2018), 대한의학회
- Dube P, "The p4 screener : evaluation of a brief measure for assessing potential suicide risk in 2 randomized effectiveness trials of primary care and oncology patients", Primary Care Companion J Clin Psychiatry, 12, pp.6~ (2010)
- Beard C, "Beyond generalized anxiety disorder : psychometric properties of the GAD-7 in a heterogeneous psychiatric sample", J Anxiety Disord, 28, pp.547~552 (2014)
- National Mental Health Statistics 2020, "Lee YM", National Center for Mental Health, ~ (2020)
- National Mental Health Survey 2021, "Hahm BJ", National Center for Mental Health, ~ (2021)
- Wu KK, "Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome(SARS)", J Traum Stress, 18, pp.39~42 (2005)
- Deng J, "The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients:a meta-analysis", Ann NY Acad Sci, 1486, pp.90~111 (2021)
- Liguori C, "Depressive and anxiety symptoms in patients with SARSCoV2infection", J Affect Disord, 278, pp.339~340 (2021)
- Zhao YJ, "The prevalence of psychiatric comorbidities during the SARS and COVID-19epidemics : a systematic review and meta-analysis of observational studies", Journal of Affective Disorders, 287, pp.145~157 (2021)
- "Response Guidance for Businesses to prevent and control the spread of COVID-19", Ministry of Employment and labor, ~ (2020)
- Rutter LA, "Psychometric properties of the Generalized Anxiety Disorder Scale-7(GAD-7)in outpatients with anxiety and mood disorders", J Psychopathol Behav Assess, 39, pp.140~146 (2017)