Is COVID-19 Associated With Posttraumatic Stress Disorder?. Horn, M., Wathelet, M., Fovet, T., Amad, A., Vuotto, F., Faure, K., Astier, T., Noël, H., Henry, M., Duhem, S., Vaiva, G., D'Hondt, F., D'Hondt, F., & D'Hondt, F. The Journal of Clinical Psychiatry, 82(1):1–5, dec, 2021.
doi  abstract   bibtex   
OBJECTIVE To assess the prevalence of and risk factors for posttraumatic stress disorder (PTSD) in patients with COVID-19. METHODS We conducted a cohort study between March and May 2020 at the Lille University Hospital (France), including all patients with laboratory-confirmed COVID-19. Psychological distress symptoms were measured 3 weeks after onset of COVID-19 symptoms using the Impact of Event Scale-6 items (IES-6). The evaluation of PTSD symptoms using the PTSD Checklist for DSM-5 (PCL-5) took place 1 month later. Bivariate analyses were performed to analyze the relationship between PCL-5 scores and the demographic and health variables. The significant variables were then introduced into a multivariable linear regression analysis to establish their relative contributions to the severity of PTSD symptoms. RESULTS 180 patients were included in this study, and 138 patients completed the 2 evaluations. Among the 180 patients, 70.4% patients required hospitalization, and 30.7% were admitted to the intensive care unit. The prevalence of PTSD was 6.5%, and the predictive factors of PTSD included psychological distress at the onset of the illness and a stay in an intensive care unit. CONCLUSIONS The prevalence of PTSD in patients with COVID-19 is not as high as that reported among patients during previous epidemics. Initial psychological responses were predictive of a PTSD diagnosis, even though most patients showing acute psychological distress (33.5% of the sample) improved in the following weeks. PTSD symptoms also increased following a stay in an intensive care unit. Future studies should assess the long-term consequences of COVID-19 on patients' mental health.
@article{Horn2021c,
abstract = {OBJECTIVE To assess the prevalence of and risk factors for posttraumatic stress disorder (PTSD) in patients with COVID-19. METHODS We conducted a cohort study between March and May 2020 at the Lille University Hospital (France), including all patients with laboratory-confirmed COVID-19. Psychological distress symptoms were measured 3 weeks after onset of COVID-19 symptoms using the Impact of Event Scale-6 items (IES-6). The evaluation of PTSD symptoms using the PTSD Checklist for DSM-5 (PCL-5) took place 1 month later. Bivariate analyses were performed to analyze the relationship between PCL-5 scores and the demographic and health variables. The significant variables were then introduced into a multivariable linear regression analysis to establish their relative contributions to the severity of PTSD symptoms. RESULTS 180 patients were included in this study, and 138 patients completed the 2 evaluations. Among the 180 patients, 70.4% patients required hospitalization, and 30.7% were admitted to the intensive care unit. The prevalence of PTSD was 6.5%, and the predictive factors of PTSD included psychological distress at the onset of the illness and a stay in an intensive care unit. CONCLUSIONS The prevalence of PTSD in patients with COVID-19 is not as high as that reported among patients during previous epidemics. Initial psychological responses were predictive of a PTSD diagnosis, even though most patients showing acute psychological distress (33.5% of the sample) improved in the following weeks. PTSD symptoms also increased following a stay in an intensive care unit. Future studies should assess the long-term consequences of COVID-19 on patients' mental health.},
author = {Horn, Mathilde and Wathelet, Marielle and Fovet, Thomas and Amad, Ali and Vuotto, Fanny and Faure, Karine and Astier, Thibault and No{\"{e}}l, H{\'{e}}l{\`{e}}ne and Henry, Margot and Duhem, St{\'{e}}phane and Vaiva, Guillaume and D'Hondt, Fabien and D'Hondt, Fabien and D'Hondt, Fabien},
doi = {10.4088/JCP.20M13641},
file = {:C\:/Users/fabie/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Horn et al. - 2020 - Is COVID-19 Associated With Posttraumatic Stress Disorder.pdf:pdf},
issn = {15552101},
journal = {The Journal of Clinical Psychiatry},
keywords = {,80 and over,Acute Disease,Adult,Aged,COVID-19,Female,Follow-Up Studies,France,Hospitalization,Humans,Intensive Care Units,Male,Middle Aged,Post-Traumatic,Prevalence,Psychological Distress,Severity of Illness Index,Stress Disorders,complications,diagnosis,epidemiology,etiology,psychology,statistics & numerical data,therapy},
language = {eng},
month = {dec},
number = {1},
pages = {1--5},
pmid = {33296149},
title = {{Is COVID-19 Associated With Posttraumatic Stress Disorder?}},
volume = {82},
year = {2021}
}

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