Psychological impacts on patients with COVID-19 in a Thai field hospital

Lerthattasilp, Tiraya; Kosulwit, Lampu; Phanasathit, Muthita; Nuallaong, Winitra; Tapanadechopone, Pairath; Thanetnit, Chommakorn; Charernboon, Thammanard

doi:10.15761/0101-60830000000265

Cited by 7 publications

(14 citation statements)

References 8 publications

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“…Since these patients were separated in a single room for a long time, they were expected to present high rates of psychological distress. We found that the depression, anxiety and stress symptoms in patients at this field hospital were 22.5%, 30% and 20%, respectively [12]. During the early phase of the COVID-19 pandemic in Thailand, although there were psychological assistance hotlines and online mental health education offered from the Department of Mental Health, there was no mental health service designed for patients affected by COVID-19 who were in quarantine [13].…”

Section: Introductionmentioning

confidence: 99%

Effect of an online psychological support group on patients with COVID-19 in a Thai field hospital: a real world study

Lerthattasilp

Kosulwit

Phanasathit

et al. 2021

JHR

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PurposeThe purpose of this study is to evaluate the effectiveness of an online psychological support group on patients with coronavirus disease 2019 (COVID-19) in a Thai field hospital.Design/methodology/approachA prospective controlled trial was conducted at a Thai field hospital and included patients with confirmed COVID-19 who were over the age of 18 and able to use an online communication application. Patients were free to decide whether to participate in the online group. The group provided a space for participants to communicate with each other and a mental health service team. The everyday activities were designed to enable group support via texting or livestreaming through the LINE application. Psychoeducation via video clips or articles regarding stress management were provided. Outcomes were measured by an online self-reported questionnaire based on the twenty-one-item Depression, Anxiety and Stress Scale (DASS-21) on the first and fourteenth day of admission to the field hospital.FindingsForty-six patients participated in this study. Forty participants completed the secondary assessment, with 21 in the intervention group and 19 in the control group. From multilevel mixed-effects regression analysis, adjusted for gender, age and education, participation in the intervention group significantly decreased total DASS scores and anxiety subdomain scores compared to those in the control group (p = 0.038 and 0.008).Originality/valueThe online psychological support group offered benefits for patients with COVID-19 who were isolated in the field hospital. It could be an effective alternative measure to distribute psychological care during a pandemic situation. However, a small sample size was a limitation of this study.

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Section: Introductionmentioning

confidence: 99%

Effect of an online psychological support group on patients with COVID-19 in a Thai field hospital: a real world study

Lerthattasilp

Kosulwit

Phanasathit

et al. 2021

JHR

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“…Less than 10% of the patients in our cohort reported psychopathology and substance use. This number was significantly lower than the 20-30% proportion of COVID-19 Thai patients in field hospitals who have been reported to suffer from depression and anxiety [ 35 ] or the 25% proportion of mental health and substance use comorbidity found in the hotel-based isolation cohort in a sample of homeless patients in San Francisco, USA [ 36 ]. Up to 88% of our sample was found to have a good support system, which assured that they would have adequate physical and psychological support from their family, friends, and extended community.…”

Section: Discussionmentioning

confidence: 95%

The Validity and Reliability of the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET)

Thisayakorn¹,

Sirinimnualkul²,

Thipakorn³

et al. 2022

Cureus

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Background: The growing number of cases presenting with COVID-19 during the pandemic has led to a significant shortage of hospital beds. Many patients may not require hospitalization and can be clinically observed in home settings. We have identified a set of psychosocial factors that correlate with unsuccessful home isolation (HI), which in turn might negatively affect the transmission control in the community. Therefore, we developed the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET), a new screening tool for assessing the psychosocial suitability for HI. This study examines the CCPHIET’s validity and reliability. Methods: This cross-sectional descriptive study included COVID-19 patients who were deemed to be medically safe for 14-days of HI. The CCPHIET is comprised of eight clinical domains pertinent to HI behavioral compliance and risk for non-adherence. We explored its statistical validity and reliability and discussed the potential utility of this tool. Results: A total of 65 COVID-19 patients participated in this study. Most patients (58.5%) were deemed to be appropriate candidates for HI according to the CCPHIET. The results of this study demonstrate that the CCPHIET has an acceptable content validity (IOC index > 0.5), moderate internal consistency (Cronbach’s alpha = 0.611) and substantial to excellent inter-rater reliability (Intraclass correlation coefficient = 0.944, Cohen’s kappa= 0.627). Conclusions: CCPHIET is an easy-to-use tool for assessing the psychosocial suitability of patients advised for at-home isolation with mild and asymptomatic COVID-19. Its implementation can assist clinicians in identifying and redirecting resources to patients at the highest risk for breaking quarantine and save on unnecessary, costly absolute institutional quarantine for those deemed to be psychosocially fit for full adherence.

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“…While the study in Thailand by Lerthattasilp et al, 2020 showed that the prevalence of depression was found to be 22.5%, whilst the anxiety rate was 30%, and the stress rate was 20%. 3 The study by Lerthattasilp et al was conducted in a field hospital that has a similar concept of caring to "hospitel". 3 This data demonstrated that patients with COVID-19 are more likely to suffer mental health problems than the normal population.…”

Section: Introductionmentioning

confidence: 94%

“…3 The study by Lerthattasilp et al was conducted in a field hospital that has a similar concept of caring to "hospitel". 3 This data demonstrated that patients with COVID-19 are more likely to suffer mental health problems than the normal population. In addition, early studies revealed that the female gender, physical symptoms related to COVID-19, duration of hospitalisation, and a history of psychiatric disorders were associated factors to mental health problems.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, early studies revealed that the female gender, physical symptoms related to COVID-19, duration of hospitalisation, and a history of psychiatric disorders were associated factors to mental health problems. [3][4][5][6][7] The objective of the present study was to investigate the prevalence of mental health problems, including depression, anxiety and stress, as well as their associated factors in patients with asymptomatic or mildly symptomatic in the hospitel in Thailand, which is under the supervision of the Faculty of Medicine Vajira Hospital. We hypothesise that the prevalence of mental health problems is likely to be high on day 1 at admission and will decline after 7 days.…”

Section: Introductionmentioning

confidence: 99%

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Mental health problems of asymptomatic or mildly symptomatic COVID-19 patients in hospitel in Thailand: A cross-sectional study

et al. 2022

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Background There is evidence that patients with COVID-19 have a higher prevalence of mental health problems than the normal population. This study aimed to investigate the prevalence of mental health problems and their associated factors in patients with asymptomatic or mildly symptomatic in the hospitel in Thailand. Methods Mental health problems were evaluated using the Depression, Anxiety, and Stress Scale - 21 items, and Patient Health Questionnaire-9. The prevalence of mental health problems was presented by frequency and percentage. McNemar's test was used to compare the prevalence of mental health problems between day 1 and day 7. Binary logistic regression was used to identify potential predictors of mental health problems. Results A total of 186 participants (68.3% female; mean age = 37.21 years (SD 13.66) were recruited. The depression, anxiety, and stress rate on day 1 of admission was 26.9%, 32.3% and 25.8%, respectively. Having mild COVID-19 symptoms was a significantly associated factor with anxiety (OR=2.69, 95%CI: 1.05-6.89) and stress (OR=4.53, 95%CI: 1.32-15.55). Conclusions There was a high rate of mental health problems in COVID-19 patients. Detecting and managing mental health problems should be considered standard care for COVID-19 patients.

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Psychological impacts on patients with COVID-19 in a Thai field hospital

Cited by 7 publications

References 8 publications

Effect of an online psychological support group on patients with COVID-19 in a Thai field hospital: a real world study

Effect of an online psychological support group on patients with COVID-19 in a Thai field hospital: a real world study

The Validity and Reliability of the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET)

Mental health problems of asymptomatic or mildly symptomatic COVID-19 patients in hospitel in Thailand: A cross-sectional study

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