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

All eligible patients confirmed to have COVID-19 at Thammasat University field hospital completed an online self-reported mental health screening questionnaire which collected sociodemographic data, their clinical characteristics, and used the depression, anxiety, and stress scale (DASS-21).

Results:

A total of 40 patients participated in the study. The depression rate was found to be 22.5%, while the anxiety rate was 30%, and the stress rate was 20%. Having a history of psychiatric disorder alone was significantly associated with a higher DASS-21 score (p = 0.001). Meanwhile, gender, age, level of education, occupation, living status, severity of COVID-19, and the number of days admitted to hospital prior to the field hospital were not found to be associated with the DASS-21 scores (P > 0.05).

Conclusion:

The depression, anxiety, and stress symptoms in patients with COVID-19 at the field hospital were common. Patients with a history of psychiatric disorder should undergo specific evaluation during the isolation phase.

Keywords:
Anxiety; COVID-19; depression; mental health; psychological impact; stress

Characteristics		N (%)
Gender: female		23 (57.5%)
Age: mean (SD) (min= 20, max =55)		30.4 (9.4)
Education
	- Primary school	3 (7.5%)
	- High school	14 (35.0%)
	- University	23 (57.5%)
Occupation
	- None	7 (17.5%)
	- Part-time	14 (35.0%)
	- Full time	19 (47.5%)
Living alone		17 (42.5%)
History of psychiatric disorders		5 (12.5%)
Days in previous hospital: mean (SD)		8.3 (4.4)
Severity of COVID-19
	- No symptom	12 (30%)
	- Mild	24 (60%)
	- Moderate to severe	4 (10%)

Prevalence	Depression	Anxiety	Stress
Normal	31 (77.5%)	28 (70.0%)	32 (80%)
Mild	2 (5.0%)	4 (10%)	3 (7.5%)
Moderate	3 (7.5%)	5 (12.5%)	4 (10%)
Severe-extremely severe	4 (10%)	3 (7.5%)	1 (2.5%)

Factors		Coefficient [95% CI]	p-value
Gender: female		-0.93 (-7.56, 5.69)	0.775
Age (years)		-0.03 (-0.36, 0.3)	0.834
Education
	- Primary school	reference	reference
	- High school	-10.46 (-22.62, 1.7)	0.089
	- University	-7.18 (-20.77, 6.4)	0.288
Occupation
	- None	reference	reference
	- Part-time	4.04 (-4.79, 12.87)	0.357
	- Full-time	0.53 (-7.71, 8.77)	0.896
Living alone		1.06 (-6.76, 8.87)	0.784
Days in previous hospital (days)		0.32 (-0.37, 1.01)	0.351
History of psychiatric disorders		17.47 (7.7, 27.23)	0.001
Severity of COVID-19
	- No symptom	reference	reference
	- Mild	5.37 (-1.25, 11.99)	0.108
	- Moderate to severe	-1.15 (-13.07, 10.77)	0.845

Faculdade de Medicina da Universidade de São Paulo Rua Ovídio Pires de Campos, 785 , 05403-010 São Paulo SP Brasil, Tel./Fax: +55 11 2661-8011 - São Paulo - SP - Brazil
E-mail: archives@usp.br

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[1] Address for correspondence: Thammanard Charernboon, Department of Clinical Epidemiology, Faculty of Medicine, Thammasat University, 99/209 Moo 18, Paholyothin Rd., Klong Neung, Klong Luang, Pathumthani 12120, Thailand. Phone: (66)2-926-9205; Email: dr.thammanard@gmail.com