Assessment of Psychological Distress and Associated Factors among Hospitalized Patients During the COVID-19 Pandemic at Selected Hospitals in Southwest Ethiopia

Hambisa, Solomon; Siraj, Jafer; Mesafint, Gebremeskel; Yimam, Mohammed

doi:10.2147/ndt.s297460

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…The high rates of anxiety and depression observed within our group of patients align with the results reported in studies from other countries, such as Ethiopia and China, which documented comparable levels of anxiety and depression linked to hospital isolation during the first phase of the pandemic [ 30 , 31 ]. In Morocco, an online survey conducted among the general population during the outbreak yielded similar results, with 49% and 53% of respondents reporting anxiety and depression, respectively [ 15 ].…”

Section: Discussionsupporting

confidence: 89%

“…This can be explained by past experiences of health adversities, leading to an increased perception of life threat. A cross-sectional study in Ethiopia further illustrates this, revealing that hospitalized COVID-19 patients with medium and high perceived life threat were three and five times more likely to have psychological distress [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Binary logistic regression was performed to identify variables associated with anxiety and depression. Variables were selected based on their clinical relevance and a literature review [ 1 , 3 , 24 , 30 , 31 , 32 , 33 , 34 ]. For each explanatory variable, odds ratios (ORs), 95% confidence intervals (CIs), and p -values were reported.…”

Section: Methodsmentioning

confidence: 99%

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Psychological Distress Associated with Enforced Hospital Isolation Due to COVID-19 during the “Flatten the Curve” Phase in Morocco: A Single-Center Cross-Sectional Study

Chadli,

Nechba Bennis,

Madani

et al. 2024

Healthcare

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(1) Background: although much research has highlighted the mental health challenges faced by patients in hospital isolation during the COVID-19 pandemic, data from low–middle-income countries, including Morocco, are lacking. The main objective of this study was to assess the psychological distress of patients undergoing enforced hospital isolation during the initial phase of the COVID-19 pandemic in Morocco. (2) Methods: we conducted a cross-sectional study between 1 April and 1 May 2020, among patients hospitalized in isolation for suspected or confirmed COVID-19 at the Ibn Sina University Hospital of Rabat, Morocco. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Binary logistic regression was performed to identify variables associated with anxiety and depression, with a cutoff of ≥8 used for both scales to create dichotomous variables. (3) Results: among 200 patients, 42.5% and 43% scored above the cut-off points for anxiety and depression, respectively. Multiple logistic regression identified female gender, a higher education level, a longer duration of isolation, and a poor understanding of the reasons for isolation as significant factors associated with anxiety. Conversely, female gender, chronic disease, a longer duration of isolation, and a poor understanding of the reasons for isolation were factors significantly associated with depression. (4) Conclusions: our study underscores high rates of anxiety and depression among patients forced into hospital isolation during the initial phase of COVID-19 in Morocco. We identified several factors associated with patients experiencing psychological distress that may inform future discussions on mental health and psychiatric crisis management.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Psychological Distress Associated with Enforced Hospital Isolation Due to COVID-19 during the “Flatten the Curve” Phase in Morocco: A Single-Center Cross-Sectional Study

Chadli,

Nechba Bennis,

Madani

et al. 2024

Healthcare

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“…These results are in line with Gudmundsson et al (2006) [45] who concluded that COPD women were more likely to suffer from more significant anxiety or depression. There could be more factors like more vulnerability to sociocultural factors associated with the mental impact, or more fluctuation in hormonal levels which are associated with emotional symptoms and make women more likely to report negative emotions than men [46,47].…”

Section: Discussionmentioning

confidence: 99%

Association between Post-Hospitalization Psychological Distress, Exercise Capacity, Physical Function and Health Status in COVID-19 Survivors

D’Ors-Vilardebó,

Cebrià i Iranzo,

González-King-Garibotti

et al. 2024

Healthcare

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This study aims to determine whether post-hospitalization psychological distress is associated with exercise capacity, physical function and health status in COVID-19 survivors. In this observational study, hospitalized COVID patients were included and divided into two groups according to the mental component summary subscale of the 12-item Short-Form Health Survey. Patients with a score ≤ 45 were included in the psychological distress group, and patients with a score > 45 were included in the non-psychological distress group. The main variables were exercise capacity, physical function, and health status. Patients were evaluated at discharge, 3 months, and at 6 months follow-up. Finally, a total of 60 patients were included in the study. Significant differences were found in exercise capacity, physical function, and health status (p < 0.05), with worse results in the group with psychological distress at discharge and 3 months follow-up. At 6 months after discharge, COVID patients with psychological distress exhibited worse results in exercise capacity, physical function, and health status, being significant exercise capacity and physical function (p < 0.05). It can be concluded that COVID patients with psychological distress at hospital discharge reported worse exercise capacity, physical function and health status at hospital discharge, 3 months and 6 months follow-up.

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Exploring the association between khat use and psychiatric symptoms: a systematic review

Edwards

Atkins

2022

BMJ Open

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ObjectivesConsumption of the drug khat is high across East Africa and the South-Western Arabian Peninsula despite evidence for its adverse psychiatric effects. This systematic review aims to explore cross-sectional research in the field to determine the strength of the association between khat use and psychiatric symptomsMethodsSix databases were searched in October 2021—Ovid Medline, Embase, APA PsycINFO, CINAHL, Scopus and Proquest—using the following search terms: “khat” OR “qat” OR “qaad” OR “catha” OR “miraa” OR “mairungi” AND “depression” OR “anxiety” OR “mania” OR “psych*” OR “schiz*” OR “mental” OR “hallucinations” OR “delusions” OR “bipolar”. Eligible studies were cross-sectional studies of any population or setting comparing the prevalence of psychiatric symptoms in long term or dependent khat users with non-users. The quality of each study was appraised by the Newcastle-Ottawa scale. A meta-analysis was planned using a random effects model to produce an OR with 95% CIs—using the Mantel-Haenszel method—alongside an I2 statistic to represent heterogeneity. The quality of this meta-analysis was appraised using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) scoring system.Results35 studies were eligible for inclusion (total participants=31 893), spanning 5 countries (Ethiopia, Somalia, Kenya, Saudi Arabia, UK). Meta-analysis suggests that khat use is associated with an 122% increased prevalence of psychiatric symptoms (OR 2.22, 95% CIs 1.76 to 2.79, p<0.00001, GRADE score: ‘very low’).ConclusionsThe high heterogeneity of the meta-analysis is likely due to the wide variation between the studies within the evidence base. To perform a more accurate systematic review, further primary studies are needed with standardised measurements of variables, particularly khat consumption.PROSPERO registration numberCRD42020224510.

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Assessment of Psychological Distress and Associated Factors among Hospitalized Patients During the COVID-19 Pandemic at Selected Hospitals in Southwest Ethiopia

Cited by 5 publications

References 35 publications

Psychological Distress Associated with Enforced Hospital Isolation Due to COVID-19 during the “Flatten the Curve” Phase in Morocco: A Single-Center Cross-Sectional Study

Psychological Distress Associated with Enforced Hospital Isolation Due to COVID-19 during the “Flatten the Curve” Phase in Morocco: A Single-Center Cross-Sectional Study

Association between Post-Hospitalization Psychological Distress, Exercise Capacity, Physical Function and Health Status in COVID-19 Survivors

Exploring the association between khat use and psychiatric symptoms: a systematic review

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