Cited by 117COVID-19 and Mental HealthLong-Term Effects of COVID-19COVID-19 Clinical Research Studies

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The effects of disease severity, use of corticosteroids and social factors on neuropsychiatric complaints in severe acute respiratory syndrome (SARS) patients at acute and convalescent phases

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Sheng, Bun, Wing Cheng, Sammy Kin, Lau, Kwok Kwong, Li, Ho Lun, Yiu Chan, Eric Lok·2005·European Psychiatry

DOI 10.1016/j.eurpsy.2004.06.023PMC PMC7135192

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Abstract

Objective: To evaluate the effects of disease severity, corticosteroids and social factors on neuropsychiatric complaints in severe acute respiratory syndrome (SARS) patients, both during acute and convalescent phases. Methods: Self-administered mail questionnaires survey to 308 SARS patients after discharging from hospital. Both patients and their families were asked about symptoms related to various neuropsychiatric domains, and the questions covered both acute and convalescent phases. Results: Among the 102 (33%) valid replies, 65% had strong symptoms in convalescent phase as indicated by GHQ28 score ≥ 5. In multiple linear regression analysis, use of pulse steroid and total dosages of pulse steroid during hospitalisation were predictive for anxiety-depression, psychosis and behavioural symptoms in acute phase, the effects persisted in convalescent phase. Disease severity had direct correlation with symptoms in all neuropsychiatric domains at acute phase and anxiety-depression and cognition at convalescent phase. Health care workers had more neuropsychiatric complaints in both phases. Severity of symptoms, corticosteroids and social factors explained about half of the variances (R2 = 52) in anxiety-depression at acute phase and 33% at convalescent phase. Conclusions: Severe disease, high dose corticosteroids and being health care workers were independent predictors of neuropsychiatric complaints in both acute and convalescent phases.

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Authors: Sheng, B., Wing Cheng, S. K., Lau, K. K., Li, H. L., & Yiu Chan, E. L.
Affiliations: Princess Margaret Hospital (HK)
Corresponding author: Sheng, Bun
ORCID: Sheng, Bun
Venue: European Psychiatry
Publisher: Cambridge University Press (CUP)
Published: 2005-05
Volume: 20
Issue: 3
Pages: 236-242
ISSN: 0924-9338 (ISSN-L)
1778-3585
DOI: 10.1016/j.eurpsy.2004.06.023
PMC: PMC7135192
OpenAlex: W1965607682
Cited by: 117
References: 28
Citations by year: 2026: 1 · 2025: 4 · 2024: 4 · 2023: 9 · 2022: 22 · 2021: 27 · 2020: 36 · 2019: 1 · 2014: 1 · 2013: 1
FWCI: 1.61
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 5464 d)
Locations: European Psychiatry (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Keywords: SARS, neuropsychiatric symptoms, corticosteroids, disease severity, convalescence, anxiety and depression, psychosis, behavioural symptoms, cognitive impairment, healthcare workers, post-discharge outcomes, social factors
MeSH terms: Adult, Anti-Inflammatory Agents, Anxiety Disorders, Bipolar Disorder, Cognition Disorders, Convalescence, Demography, Factor Analysis, Statistical, Female, Health Personnel, Health Status, Humans, Male, Psychotic Disorders, Surveys and Questionnaires, Severity of Illness Index, Severe Acute Respiratory Syndrome

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The effects of disease severity, use of corticosteroids and social factors on neuropsychiatric complaints in severe acute respiratory syndrome (SARS) patients at acute and convalescent phases

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