COVİD-19 Pandemisi Sırasında Erken Dönemde Psikiyatrik Bulgular ve Fonksiyonel Kapasite: COVİD-19 Hastaları ve Karantina Altındaki Temaslı Bireyler

Amaç: Bu çalışmanın amacı, COVİD-19 hastaları, temaslı bireyler ve sağlıklı bireylerde karantina sürecindeki erken dönem psikiyatrik bulguları karşılaştırmaktır. Yöntem: Enine kesitsel gözlemsel çalışma tasarımı kullanıldı. Çalışma COVİD-19 tanısı almış ve ev karantinasında bulunan hastalar, COVİD-19 tanısı almamış ancak ev karantinasında bulunan temaslı bireyler ve karantina sınırlaması olmayan sağlıklı bireyler ile gerçekleştirildi. COVİD-19 hastaları ve temaslı bireyler için karantinanın ilk gününde ve 10 gün sonrasında ölçümler yapılırken; sağlıklı grup için ise 10 gün ara ile toplam iki ölçüm yapıldı. Bireyler 10 gün arayla Coronavirus-19 Phobia Scale, Coronavirus Anxiety Scale, Patient Health Questionnaire, 30-second sit-to-stand test ile değerlendirildi. Bulgular: 10. günde COVİD-19 hastalarında sağlıklılara göre koronafobi ve koronavirüs anksiyetesi yüksek bulunurken(p<0.05); anksiyete, depresyon ve fonksiyonel kapasitede farklılık görülmedi(p>0.05). COVİD-19 hastalarında anksiyete ve depresyonun; temaslı bireylerde ise koronafobinin 10 günlük zaman içerisinde azaldığı görüldü(p<0.05). 30 saniye otur kalk testi puanının ilk gün, 10. gün ve karantina sürecindeki değişim açısından üç grup arasında anlamlı bir farklılık yoktu (p>0,05). Üç grupta da karantina sürecinde anlamlı bir değişim yoktu (p>0.05). Sonuç: COVİD-19 hastalarında hastalığa özgü uygulanan medikal tedaviyle birlikte; temaslı bireylerde ise karantina sürecinde psikiyatrik bulgular için erken dönemde önlemler alınmasını öneriyoruz.

Psychiatric Findings and Functional Capacity in the Early Period During the COVID-19 Pandemic: COVID-19 Patients and Individuals Under Quarantine

Objective: The aim of this study is to compare the early psychiatric findings in the quarantine period in COVID-19 patients, under quarantine and healthy individuals. Method: A cross-sectional observational study design was used. The study was conducted with patients diagnosed with COVID-19 and in home quarantine, contact individuals who were not diagnosed with COVID-19 but in home quarantine, and healthy individuals without quarantine restrictions. While measurements are made on the first day of quarantine and 10 days later for COVID-19 patients and contact individuals; For the healthy group, two measurements were made with an interval of 10 days. Individuals were evaluated with Coronavirus-19 Phobia Scale, Coronavirus Anxiety Scale, Patient Health Questionnaire, 30-second sit-to-stand test. Results: 10th day, coronaphobia and coronavirus anxiety were found to be higher in COVID-19 patients(p<0.05). It was observed that anxiety and depression in COVID-19 patients; coronaphobia in under quarantine individuals decreased within 10 days(p<0.05). There was no significant difference between the three groups in terms of the change in the 30-second sit-to-stand test score on the first day, on the tenth day, and in the quarantine period (p>0.05). No significant change was revealed in any groups in the quarantine period (p>0.05). Conclusion: Precautions should be taken for psychiatric findings in early period during the quarantine period in COVID-19 patients and under quarantine individuals.

___

  • 1. World Health Organization. (2020). Coronavirus disease 2019 (COVID-19): Situation report, 73. World Health Organization. Retrieved from World Health Organization website: https://apps.who.int/iris/handle/10665/331686.
  • 2. WHO Coronavirus (COVID-19) Dashboard. (n.d.). Retrieved 10 February 2022, from https://covid19.who.int
  • 3. Alimohamadi, Y., Spenadi, M., Taghdir, M., & Hosam,rudsari, H. (2020). Determine the most common clinical symptoms in COVID-19 patients: A systematic review and meta-analysis. Journal of Preventive Medicine and Hygiene, 61(3), E304–E312. https://doi.org/10.15167/2421-4248/jpmh2020.61.3.1530.
  • 4. Sahin, T., Ayyildiz, A., Gencer-Atalay, K., Akgün, C., Özdemir, H. M., & Kuran, B. (2021). Pain Symptoms in COVID-19. American Journal of Physical Medicine & Rehabilitation, 100(4), 307–312. https://doi.org/10.1097/PHM.0000000000001699.
  • 5. Clavario, P., De Marzo, V., Lotti, R., Barbara, C., Porcile, A., Russo, C., et al. (2020). Assessment of functional capacity with cardiopulmonary exercise testing in non-severe COVID-19 patients at three months follow-up. MedRxiv.
  • 6. Cortés-Telles, A., López-Romero, S., Figueroa-Hurtado, E., Pou-Aguilar, Y. N., Wong, A. W., Milne, K. M., et al. (2021). Pulmonary function and functional capacity in COVID-19 survivors with persistent dyspnoea. Respiratory Physiology & Neurobiology, 288, 103644. https://doi.org/10.1016/j.resp.2021.103644.
  • 7. Jacobs, L. G., Paleoudis, E. G., Bari, D. L.-D., Nyirenda, T., Friedman, T., Gupta, A., et al. (2020). Persistence of symptoms and quality of life at 35 days after hospitalization for COVID-19 infection. PLOS ONE, 15(12), e0243882. https://doi.org/10.1371/journal.pone.0243882.
  • 8. Quality of life under the COVID-19 quarantine | SpringerLink. (n.d.). Retrieved 10 February 2022, from https://link.springer.com/article/10.1007/s11136-020-02724-x.
  • 9. Belli, S., Balbi, B., Prince, I., Cattaneo, D., Masocco, F., Zaccaria, S., at al. (2020). Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. European Respiratory Journal, 56(4). https://doi.org/10.1183/13993003.02096-2020.
  • 10. Nussbaumer-Streit, B., Mayr, V., Dobrescu, A. I., Chapman, A., Persad, E., Klerings, I., et al. (2020). Quarantine alone or in combination with other public health measures to control COVID‐19: A rapid review. Cochrane Database of Systematic Reviews, (9). https://doi.org/10.1002/14651858.CD013574.pub2.
  • 11. Bérard, E., Huo Yung Kai, S., Coley, N., Bongard, V., & Ferrières, J. (2021). Lockdown-related factors associated with the worsening of cardiovascular risk and anxiety or depression during the COVID-19 pandemic. Preventive Medicine Reports, 21, 101300. https://doi.org/10.1016/j.pmedr.2020.101300.
  • 12. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8.
  • 13. 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. International Journal of Social Psychiatry, 66(5), 504–511. https://doi.org/10.1177/0020764020927051.
  • 14. Wang, Y., Di, Y., Ye, J., & Wei, W. (2021). 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.
  • 15. 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. International Journal of Social Psychiatry, 66(4), 317– 320. https://doi.org/10.1177/0020764020915212.
  • 16. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). New York: Routledge. https://doi.org/10.4324/9780203771587.
  • 17. Arpaci, I., Karataş, K., & Baloğlu, M. (2020). The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Personality and Individual Differences, 164, 110108. https://doi.org/10.1016/j.paid.2020.110108.
  • 18. Lee, S. A. (2020). Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies, 44(7), 393–401. https://doi.org/10.1080/07481187.2020.1748481.
  • 19. Bi̇çer, İ., Çakmak, C., Demi̇r, H., & Kurt, M. E. (2020). Koronavirüs Anksiyete Ölçeği Kısa Formu: Türkçe Geçerlik ve Güvenirlik Çalışması. Anatolian Clinic the Journal of Medical Sciences, 25(Special Issue on COVID 19), 216–225. https://doi.org/10.21673/anadoluklin.731092.
  • 20. Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009). An Ultra-Brief Screening Scale for Anxiety and Depression: The PHQ–4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1016/S0033-3182(09)70864-3.
  • 21. Demircia, İ., & Ekşib, H. (2018). Don’t bother your pretty little head otherwise you can’t enjoy life. ERPA 2018, 287.
  • 22. Zhang, Q., Li, Y., Li, X., Yin, Y., Li, R., Qiao, X., et al. (2018). A comparative study of the five-repetition sit-to- stand test and the 30-second sit-to-stand test to assess exercise tolerance in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease, Volume 13, 2833–2839. https://doi.org/10.2147/COPD.S173509.
  • 23. Toprak Celenay, S., Karaaslan, Y., Mete, O., & Ozer Kaya, D. (2020). Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiology International, 37(12), 1778–1785. https://doi.org/10.1080/07420528.2020.1815759.
  • 24. Abdelghani, M., Hassan, M. S., Elgohary, H. M., & Fouad, E. (2021). Exploring the factors associated with coronaphobia among physicians during the COVID-19 outbreak in Egypt. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 57(1), 105. https://doi.org/10.1186/s41983-021-00357-6.
  • 25. Gaeta, L., & Brydges, C. R. (2021). Coronavirus-related anxiety, social isolation, and loneliness in older adults in Northern California during the stay-at-home order. Journal of Aging & Social Policy, 33(4–5), 320– 331.
  • 26. Taha, P. H. (2021). Home Quarantine Induced Health Anxiety During the Beginning of the COVID-19 Pandemic–Evidence From Iraq. Disaster Medicine and Public Health Preparedness, 1–6.
  • 27. Lei, L., Huang, X., Zhang, S., Yang, J., Yang, L., & Xu, M. (2020). Comparison of Prevalence and Associated Factors of Anxiety and Depression Among People Affected by versus People Unaffected by Quarantine During the COVID-19 Epidemic in Southwestern China. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 26, e924609-1-e924609-12. https://doi.org/10.12659/MSM.924609.
  • 28. Fountoulakis, K. N., Apostolidou, M. K., Atsiova, M. B., Filippidou, A. K., Florou, A. K., Gousiou, D. S., et al. (2021). Self-reported changes in anxiety, depression and suicidality during the COVID-19 lockdown in Greece. Journal of Affective Disorders, 279, 624–629. https://doi.org/10.1016/j.jad.2020.10.061.
  • 29. Peng, M., Mo, B., Liu, Y., Xu, M., Song, X., Liu, L., et al. (2020). Prevalence, risk factors and clinical correlates of depression in quarantined population during the COVID-19 outbreak. Journal of Affective Disorders, 275, 119–124. https://doi.org/10.1016/j.jad.2020.06.035.
  • 30. López Steinmetz, L. C., Dutto Florio, M. A., Leyes, C. A., Fong, S. B., Rigalli, A., & Godoy, J. C. (2022). Levels and predictors of depression, anxiety, and suicidal risk during COVID-19 pandemic in Argentina: The impacts of quarantine extensions on mental health state. Psychology, Health & Medicine, 27(1), 13–29. https://doi.org/10.1080/13548506.2020.1867318.
  • 31. Stults-Kolehmainen, M., Filgueiras, A., & Blacutt, M. (2021, September 28). Factors linked to changes in mental health outcomes among Brazilians in quarantine due to COVID-19 (p. 2020.05.12.20099374). p. 2020.05.12.20099374. medRxiv. https://doi.org/10.1101/2020.05.12.20099374.
  • 32. Tang, F., Liang, J., Zhang, H., Kelifa, M. M., He, Q., & Wang, P. (2021). COVID-19 related depression and anxiety among quarantined respondents. Psychology & Health, 36(2), 164–178. https://doi.org/10.1080/08870446.2020.1782410.
  • 33. Tokur Kesgin, M., Hançer Tok, H., Uzun, L. N., & Pehlivan, Ş. (2022). Comparison of anxiety levels of hospitalized COVID-19 patients, individuals under quarantine, and individuals in society. Perspectives in Psychiatric Care, 58(1), 149–158. https://doi.org/10.1111/ppc.12857.
  • 34. Mohammadkhanizadeh, A., & Nikbakht, F. (2021). Investigating the potential mechanisms of depression induced-by COVID-19 infection in patients. Journal of Clinical Neuroscience, 91, 283–287. https://doi.org/10.1016/j.jocn.2021.07.023.
  • 35. Mazza, M. G., De Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., et al. (2020). Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain, Behavior, and Immunity, 89, 594–600. https://doi.org/10.1016/j.bbi.2020.07.037.
  • 36. Guo, Q., Zheng, Y., Shi, J., Wang, J., Li, G., Li, C., et al. (2020). Immediate psychological distress in quarantined patients with COVID-19 and its association with peripheral inflammation: A mixed-method study. Brain, Behavior, and Immunity, 88, 17–27. https://doi.org/10.1016/j.bbi.2020.05.038.
  • 37. da Silva Lopes, L., Silva, R. O., de Sousa Lima, G., de Araújo Costa, A. C., Barros, D. F., & Silva-Néto, R. P. (2021). Is there a common pathophysiological mechanism between COVID-19 and depression? Acta Neurologica Belgica, 121(5), 1117–1122.
  • 38. Martin, I., Braem, F., Baudet, L., Poncin, W., Fizaine, S., Aboubakar, F., et al. (2021). Follow-up of functional exercise capacity in patients with COVID-19: It is improved by telerehabilitation. Respiratory Medicine, 183, 106438. https://doi.org/10.1016/j.rmed.2021.106438.
  • 39. Zampogna, E., Ambrosino, N., Saderi, L., Sotgiu, G., Bottini, P., Pignatti, P., et al. (2021). Time course of exercise capacity in patients recovering from COVID-19-associated pneumonia. Jornal Brasileiro de Pneumologia, 47. https://doi.org/10.36416/1806-3756/e20210076.
  • 40. Skjørten, I., Ankerstjerne, O. A. W., Trebinjac, D., Brønstad, E., Rasch-Halvorsen, Ø., Einvik, G., et al. (2021). Cardiopulmonary exercise capacity and limitations 3 months after COVID-19 hospitalisation. European Respiratory Journal, 58(2). https://doi.org/10.1183/13993003.00996-2021.
  • 41. Jahn, K., Sava, M., Sommer, G., Schumann, D. M., Bassetti, S., Siegemund, M., et al. (2022). Exercise capacity impairment after COVID-19 pneumonia is mainly caused by deconditioning. European Respiratory Journal, 59(1). https://doi.org/10.1183/13993003.01136-2021.
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2017
  • Yayıncı: Aydın Adnan Menderes Üniversitesi
Sayıdaki Diğer Makaleler

Sırt Lokalizasyonlu Striae Distensae Sıklığı ve İlişkili Faktörlerin Araştırılması

Münevver GÜVEN

Multiple Sklerozda D vitamininin Rolü

Kübra KÜÇÜKYILMAZ

İnfertil Kadınlara Değişim Aşamaları Modeli ile Yapılan Bireysel Danışmanlık Girişiminin Kilo Yönetimine Etkisi

Çiler YEYĞEL, Oya KAVLAK

COVİD-19 Pandemisi Sırasında Erken Dönemde Psikiyatrik Bulgular ve Fonksiyonel Kapasite: COVİD-19 Hastaları ve Karantina Altındaki Temaslı Bireyler

Ceyhun TOPCUOĞLU, Eylem TÜTÜN YÜMİN, Mahmut SÜRMELİ, Ebru KARACA, Merve BAŞOL GÖKSÜLÜK

Şizofreni Hastalarının Primer Bakım Vericilerinin Yük ve Tükenmişliğini Etkileyen Faktörler

Nilüfer GÖK, Hülya ARSLANTAŞ

Göçmen Çocuk ve Ergenlerin Demografik ve Klinik Özelliklerinin Geriye Dönük İncelenmesi

Sabide Duygu UYGUN, Rahime Duygu TEMELTÜRK, Ayşegül EFE, Merve CANLI, Miray ÇETİNKAYA, Fatma Hülya ÇAKMAK

Pandemide Gençlerde Kronotip ve Hedonik Açlık ile Yaşam Tarzı ve Beslenme Durumu İlişkisi

Gökçe Sueda AYDOĞDU, Eda KÖKSAL

Otizmli Çocuklarda Pilates Eğitiminin Fiziksel Performans ve Sosyal Becerilere Etkisi: Randomize Kontrollü Bir Çalışma

Nazan ÖZTÜRK, Ayşe Kübra SÖYLER, Selvinaz SAÇAN, Fatma ÜNVER, Derya ADIBELLİ, Selen SEREL ARSLAN

Düzeltme: Kadınlarda Algılanan Duygusal İstismar Düzeyi, İntihara Karşı Tutum ve İntihar Davranışlarının Değerlendirilmesi

Adile BOZKURT, Ayşe İNEL MANAV, Esra ÜNAL

Ebelere Yönelik Yenidoğan Canlandırma Uygulamaları Hizmet İçi Eğitimlerinde Öğretim Tasarımının Geliştirilmesi

Ayşe ŞENOĞLU, Zekiye KARAÇAM, Ali Tanju ALTUNSU