Resumen
La pandemia de COVID-19 trajo consecuencias psicológicas relevantes en la población. El objetivo del presente estudio fue evaluar la presencia de ansiedad, depresión y trastorno de estrés postraumático (TEPT) en pacientes post COVID-19 de moderado a grave, al mes y tres meses del alta hospitalaria. Se realizó un estudio de cohorte prospectivo con 101 pacientes mayores de 18 años post COVID-19; se aplicó la escala de ansiedad y depresión hospitalaria (HADS) y la escala de trauma de Davidson (DTS). Los resultados arrojan que los porcentajes de depresión disminuyeron de 26.1 % a 10.9 %, la media de ansiedad disminuyó de 29.7 % a 15.8 %. La media del TEPT disminuyó de 26.7 % a 10.9 %. La media en la medición de depresión fue mayor en mujeres, personas con escolaridad básica y que no trabajan. Los análisis realizados mostraron que la depresión es la principal secuela psicológica en personas sobrevivientes de COVID-19, lo que podría tener consecuencias en la calidad de vida y salud del paciente.
Citas
Al-Aly, Z. (2022). Mental Health in People with COVID-19. BMJ (Clinical Research ed.), 376, o415. https://doi.org/10.1136/bmj.o415
Alemanno, F., Houdayer, E., Parma, A., Spina, A., Del Forno, A., Scatolini, A., Angelone, S., Brugliera, L., Tettamanti, A., Beretta, L., & Iannaccone, S. (2021). COVID-19 Cognitive Deficits After Respiratory Assistance in the Subacute Phase: A COVID-Rehabilitation Unit Experience. PloS One, 16(2), e0246590. https://doi.org/10.1371/journal.pone.0246590
Algahtani, J. S., Almamary, A. S., Alghamdi, S. M., Komies, S., Althobiani, M., Aldhahir, A. M., & Naser, A. Y. (2022). Effect of the COVID-19 Pandemic on Psychological Aspects. In M. Hadi., R. Rao., & S. Roy. (Eds.), COVID-19 and the Sustainable Development Goals (pp. 235 258). https://doi.org/10.1016/B978-0-323-91307-2.00007-9
Alonso, J., Vilagut, G., Mortier, P., Ferrer, M., Alayo, I., Aragón-Peña, A., Aragonès, E., Campos, M., Cura-González, I. D., Emparanza, J. I., Espuga, M., Forjaz, M. J., González-Pinto, A., Haro, J. M., López-Fresneña, N., Salázar, A., Molina, J. D., Ortí-Lucas, R. M., Parellada, M., Pelayo-Terán, J. M., Pérez-Zapata, A., Pijoan, J., Plana, N., Puig, M., Rius, C., Rodríguez-Blázquez, C., Sanz, F., Serra, C., Kessler, R., Bruffaerts, R., Vieta, E., Pérez, V., & MINDCOVID Working Group. (2021). Mental Health Impact of the First Wave of COVID-19 Pandemic on Spanish Healthcare Workers: A Large Cross-Sectional Survey. Revista de Psiquiatría y Salud Mental, 14(2), 90–105. https://doi.org/10.1016/j.rpsm.2020.12.001
Asociación Americana de Psiquiatría. (2014). Manual diagnóstico y estadístico de los trastornos mentales DSM-5. Medica Panamericana.
Beach, S. R., Praschan, N. C., Hogan, C., Dotson, S., Merideth, F., Kontos, N., Fricchione, G. L., & Smith, F. A. (2020). Delirium in COVID-19: A Case Series and Exploration of Potential Mechanisms for Central Nervous System Involvement. General Hospital Psychiatry, 65, 47-53. https://doi.org/10.1016/j.genhosppsych.2020.05.008
Bo, H. X., Li, W., Yang, Y., Wang, Y., Zhang, Q., Cheung, T., Wu, X., & Xiang, Y. T. (2020). Posttraumatic Stress Symptoms and Attitude Toward Crisis Mental Health Services Among Clinically Stable Patients with COVID-19 in China. Psychological Medicine, 51(6), 1052–1053. https://doi.org/10.1017/S0033291720000999
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., y Rubin, G. J. (2020). El impacto psicológico de la cuarentena y cómo reducirlo: Revisión rápida de la evidencia. The Lancet, 395(10227), 912-920. https://doi.org/10.2139/ssrn.3532534
Danet, A. (2021). Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A Systematic Review. Medicina Clinica, 156(9), 449–458. https://doi.org/10.1016/j.medcli.2020.11.009
Davidson, J. R., Book, S. W., Colket, J. T., Tupler, L. A., Roth, S., David, D., Hertzberg, M., Mellman, T., Beckham, J. C., Smith, R. D., Davison, R. M., Katz, R., & Feldman, M. E. (1997). Assessment of a New Self Rating Scale for Post Traumatic Stress Disorder. Psychological Medicine, 27(1), 153–160. https://doi.org/10.1017/s0033291796004229
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., Gao, H, Guo, L., Xie, J., Wang, G., Jiang, R., Gao, Z., Jin, Q., Wang, J., Gao, Z., Jin, Q., Wang, J. y Cao, B. (2020). Características clínicas de pacientes infectados con el nuevo coronavirus 2019 en Wuhan, China. The Lancet, 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
Jafri, M. R., Zaheer, A., Fatima, S., Saleem, T., & Sohail, A. (2022). Mental Health Status of COVID-19 Survivors: A Cross Sectional Study. Virology Journal, 19(1), Art. 3. https://doi.org/10.1186/s12985-021-01729-3
Kong, X., Zheng, K., Tang, M., Kong, F., Zhou, J., Diao, L., Wu, S., Jiao, P., Su, T., & Dong, Y. (2020, prepint). Prevalence and Factors Associated with Depression and Anxiety of Hospitalized Patients with COVID-19. medRxiv. https://doi.org/10.1101/2020.03.24.20043075
Liu, D., Baumeister, R. F., & Zhou, Y. (2021). Mental Health Outcomes of Coronavirus Infection Survivors: A Rapid Meta-Analysis. Journal of Psychiatric Research, 137(11), 542–553. https://doi.org/10.1016/j.jpsychires.2020.10.015
Liu, D., Baumeister, R. F., Veilleux, J. C., Chen, C., Liu, W., Yue, Y., & Zhang, S. (2020). Risk Factors Associated with Mental Illness in Hospital Discharged Patients Infected with COVID-19 in Wuhan, China. Psychiatry Research, 292, 113297. https://doi.org/10.1016/j.psychres.2020.113297
Maya Piña, L.-V., Barbosa-Cobos, R.-E., Lugo-Zamudio, G.-E., Chacón-Abril, K.-L., Padrón-Ramírez, M., Jiménez-Jiménez, X., Vuelvas-Olmos, C.-R., Cortés-Álvarez, N. Y. y Jiménez Jiménez, S. (2022). Impacto en la salud mental en una muestra de pacientes hospitalizados por COVID-19 en la Ciudad de México. Annals of Psychology, 38(3), 448 457. https://doi.org/10.6018/analesps.502711
Organización Panamericana de la Salud. (2020, 11 de marzo). La OMS caracteriza a COVID-19 como una pandemia. Organización Panamericana de la Salud/Organización Mundial de la Salud. https://www.paho.org/es/noticias/11-3-2020-oms-caracteriza-covid-19-como-pandemia
Ngasa, S. N., Tchouda, L. A. S., Abanda, C., Ngasa, N. C., Sanji, E. W., Dingana, T. N., & Babila, C. S. (2021). Prevalence and Factors Associated with Anxiety and Depression Amongst Hospitalised COVID-19 Patients in Laquintinie Hospital Douala, Cameroon. PlosOne, 16(12), e0260819. https://doi.org/10.1371/journal.pone.0260819
Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and Predictors of Anxiety, Depression and Health Anxiety During COVID-19 Pandemic in Turkish Society: The Importance of Gender. The International Journal of Social Psychiatry, 66(5), 504–511. https://pubmed.ncbi.nlm.nih.gov/32380879/
Snaith, R. P. (2003). The Hospital Anxiety and Depression Scale. Health and Quality of Life Outcomes, 1(1), Art. 29. https://doi.org/10.1186/1477-7525-1-29
Sun, L., Sun, Z., Wu, L., Zhu, Z., Zhang, F., Shang, Z., Jia, Y., Gu, J., Zhou, Y., Wang, Y., Liu, N., & Liu, W. (2021). Prevalence and Risk Factors for Acute Posttraumatic Stress Disorder During the COVID-19 Outbreak. Journal of Affective Disorders, 283, 123–129. https://doi.org/10.1016/j.jad.2021.01.050
Tomasoni, D., Bai, F., Castoldi, R., Barbanotti, D., Falcinella, C., Mulè, G., Mondatore, D., Tavelli, A., Vegni, E., Marchetti, G., & d'Arminio Monforte, A. (2021). Anxiety and Depression Symptoms After Virological Clearance of COVID-19: A Cross-Sectional Study in Milan, Italy. Journal of Medical Virology, 93(2), 1175–1179. https://doi.org/10.1002/jmv.26459
Torales, J., O'Higgins, M., Castaldelli-Maia, J. M., & Ventriglio, A. (2020). The Outbreak of COVID-19 Coronavirus and Its Impact on Global Mental Health. The International Journal of Social Psychiatry, 66(4), 317–320. https://doi.org/10.1177/0020764020915212
Wang, Y., Di, Y., Ye, J., & Wei, W. (2020). Study on the Public Psychological States and its Related Factors During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Some Regions of China. Psychology, Health & Medicine, 26(1), 13–22. https://doi.org/10.1080/13548506.2020.1746817
World Health Organization. (WHO, 2022, march 02th). Mental Health and COVID-19: Early evidence of the pandemic’s impact: Scientific brief, 2 March 2022. https://www.who.int/publications/i/item/WHO-2019-nCoV-Sci_Brief-Mental_health-2022.1
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 Pandemic on Mental Health in the General Population: A Systematic Review. Journal of Affective Disorders, 277(1), 55–64. https://doi.org/10.1016/j.jad.2020.08.001
Zhang, J., Lu, H., Zeng, H., Zhang, S., Du, Q., Jiang, T., & Du, B. (2020). The Differential Psychological Distress of Populations Affected by the COVID-19 Pandemic. Brain, Behavior, and Immunity, 87(395), 49–50. https://doi.org/10.1016/j.bbi.2020.04.031
Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Derechos de autor 2023