ГоловнаArchive of numbers2023Volume 31, issue 4(117)Clinical and anamnestic correlates of the formation of the first time diagnosed mental disorders in patients who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic
Title of the article Clinical and anamnestic correlates of the formation of the first time diagnosed mental disorders in patients who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic
Authors Maruta Natalia
Fedchenko Viktoriya
Panko Tamara
Yavdak Iryna
Semikina Olena
Lapinska Oksana
Markozova Lubov
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND NARCOLOGICAL DISORDERS
Year 2023 Issue Volume 31, issue 4(117) Pages 75-81
Type of article Scientific article Index UDK 616.89:616.022.6-036.21 Index BBK -
Abstract DOI: https://doi.org/10.36927/2079-0325-V31-is4-2023-11

 The purpose of the study: on the basis of complex clinical-psychopathological, clinical-anamnestic and psychometric studies of patients with the first diagnosed mental disorders who suffered from the coronavirus disease COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic, to determine the clinical and anamnestic correlates of the development of various variants of mental disorders pathologies. To implement the research purpose, 97 patients with the first diagnosed mental disorders who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic were examined and formed the main group. The diagnosis was established taking into account the ICD-10 criteria (F32.0—32.2 — 34 patients, F40—45 — 32 patients, F06.3—06.6 — 31 patients). The comparison group included 58 people without mental disorders who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic. The clinical and anamnestic features of patients with the first diagnosed mental disorders who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic, which reflect characteristic nosological differences, were determined. It was established that the treatment of COVID-19 in hospital conditions (r = 0.553), the degree of lung damage according to CT-2 computed tomography data (r = 0.549), depressive (r = 0.651) and asthenic (r = 0.568) syndromes are associated with depressive episodes; a single case of COVID-19 disease (r = 0.640), the effect on initial psychopathological manifestations of such stressors of the SARS-COV-2 pandemic as a potentially life-threatening situation of uncertain duration (r = 0.575), and uncertainty related to the impact of the pandemic on family / personal socioeconomic status (r = 0.556), anxiety-phobic (r = 0.640) and somatic-vegetative (r = 0.566) syndromes are associated with the formation of neurotic, stress-related and somatoform disorders; two cases of COVID-19 in the anamnesis (r = 0.549), somatic complications after COVID-19 (r = 0.573), initial psychopathological manifestations in the form of cognitive disorders (r = 0.531) and sleep disorders (r = 0.528) characterize mental disorders organic genesis. The obtained results testify to the combined mechanism of the influence of pathoplastic and psychogenic factors of the coronavirus disease COVID-19 and the stressors of the SARS-CoV-2 pandemic and the heterogeneity of mental pathology in the context of this influence with certain diagnostic and phenomenological regularities.
Key words the first time diagnosed mental disorders, coronavirus disease COVID-19, stressors of the SARS-COV-2 pandemic, clinical and anamnestic correlates
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Bibliography 1. Chutiyami M, Cheong AMY, Salihu D, Bello UM, Ndwiga D, Maharaj R, Naidoo K, Kolo MA, Jacob P, Chhina N, Ku TK, Devar L, Pratitha P, Kannan P. COVID-19 Pandemic and Overall Mental Health of Healthcare Professionals Globally: A Meta-Review of Systematic Reviews. Front Psychiatry. 2022 Jan 17;12:804525. doi: 10.3389/ fpsyt.2021.804525. PMID: 35111089; PMCID: PMC8801501.
2. Deng J, Zhou F, Hou W, Silver Z, Wong CY, Chang O, Huang E, Zuo QK. The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients: a meta-analysis. Ann N Y Acad Sci. 2021 Feb;1486(1):90-111. doi: 10.1111/nyas.14506. Epub 2020 Oct 2. PMID: 33009668; PMCID: PMC7675607.
3. Parker C, Shalev D, Hsu I, Shenoy A, Cheung S, Nash S, Wiener I, Fedoronko D, Allen N, Shapiro PA. Depression, Anxiety, and Acute Stress Disorder Among Patients Hospitalized With COVID- 19: A Prospective Cohort Study. J Acad Consult Liaison Psychiatry. 2021 Mar-1; 62 (2): 211–219. DOI: 10.1016/j.psym.2020.10.001.
4. Richter D, Riedel-Heller S, Zürcher SJ. Mental health problems in the general population during and after the first lockdown phase due to the SARS-Cov-2 pandemic: rapid review of multi-wave studies. Epidemiol Psychiatr Sci. 2021 Mar 9;30:e27. doi: 10.1017/ S2045796021000160. PMID: 33685551; PMCID: PMC7985862.
5. Backhaus I, Hoven H, Di Tecco C, Iavicoli S, Conte A, Dragano N. Economic change and population health: lessons learnt from an umbrella review on the Great Recession. BMJ Open. 2022 Apr 4;12(4):e060710. doi: 10.1136/bmjopen-2021-060710. PMID: 35379647; PMCID: PMC8980730.
6. Negrini F, Ferrario I, Mazziotti D et al. Neuropsychological features of severe hospitalized coronavirus disease 2019 patients at clinical stability and clues for postacute rehabilitation. Arch Phys Med Rehabil. 2021; 102: 155–158. DOI: 10.1016/j.apmr.2020.09.376
7. Alimoradi Z, Ohayon MM, Griffiths MD, Lin CY, Pakpour AH. Fear of Covid-19 and its association with mental health-related factors: systematic review and meta-analysis. BJPsych Open. 2022; 8:e73. DOI: 10.1192/bjo.2022.26.
8. Dragioti E, Tsartsalis D, Mentis M, Mantzoukas S, Gouva M. Impact of the Covid-19 pandemic on the mental health of hospital staff: an umbrella review of 44 meta-analyses. Int J Nurs Stud. 2022; 131:104272. DOI: 10.1016/j.ijnurstu.2022.104272.
9. Kilian C, O’Donnell A, Potapova N, López-Pelayo H, Schulte B, Miquel L, et al. Changes in alcohol use during the Covid-19 pandemic in Europe: a meta-analysis of observational studies. Drug Alcohol Rev. 2022; 41:918–31. DOI: 10.1111/dar.13446.
10. Veazie S, Lafavor B, Vela K, Young S, Sayer NA, Carlson KF, et al. Mental health outcomes of adults hospitalized for Covid-19: a systematic review. J. Affect. Disord. Rep. 2022; 8:100312. DOI: 10.1016/j.jadr.2022.100312.
11. Halpin SJ, Mcivor C, Whyatt G, et al. Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation. J Med Virol. 2021; 93(2): 1013-1022. DOI: 10.1002/jmv.26368.
12. Rogers JP, Chesney E, Oliver D, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry. 2020;7(7):611-27. DOI: 10.1016/S2215-0366(20)30203-0. 13. Taquet M, Luciano S, Geddes JR, Harrison PJ. Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62 354 COVID-19 cases in the USA. Lancet Psychiatry. 2021 Feb;8(2):130-40. DOI: 10.1016/S2215- 0366(20)30462-4.
14. Maruta NO, Fedchenko VY, Yavdak IO, Panko TV. [Copyright of the work: Questionnaire for patients with mental disorders who have experienced the coronavirus disease COVID-19 and were exposed to the stressors of the SARS-COV-2 pandemic]. Application from 13.03.2023 с202301564; certificate from 11.04.2023 № 118009. (In Ukrainian).
15. Order of the Ministry of Health of Ukraine from 27.10.2020 No. 2438 [«On making changes to the Medical Care Standards “Coronavirus Disease (COVID-19)”»]. [Internet]. [cited 2023 Apr 12]. Available from: https://moz.gov.ua/article/ministry-mandates/ nakaz-moz-ukraini-vid-27102020--2438-pro-vnesennja-zmindo- standartiv-medichnoi-dopomogi-koronavirusna-hvorobacovid- 19. (In Ukrainian).
16. Yang R, Li X, Liu H, et al. Chest CT Severity Score: an imaging tool for assessing severe COVID-19. Radiol. Cardiothorac Imaging. 2020; 2(2): 200047. DOI: https://doi.org/10.1148/ryct.2020200047.