Cited by 7COVID-19 and Mental HealthLong-Term Effects of COVID-19Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Anxiety in patients treated in a temporary hospital in Belgrade, Serbia, during the first epidemic wave of COVID-19

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Makević, Aleksandar, Ilić, Sladjana, Pantović-Stefanović, Maja, Murić, Nemanja, Djordjević, Nataša, Jurišić, Vladimir·2022·International Journal of Disaster Risk Reduction

Abstract

Background It has been reported that COVID-19 patients in general often experience anxiety, depression and stress, but those problems in patients of temporary COVID-19 hospitals seem to have attracted less attention.Methods The study included 87 SARS-Cov-2 infected subjects accommodated and treated in a temporary hospital in Belgrade, Serbia, during the first epidemic wave of COVID-19. The patients' level of anxiety was assessed on two occasions (at admission to the temporary hospital, and 2 weeks after discharge) using the Hamilton Anxiety Rating Scale (HAM-A). Demographic and clinical data were obtained through questionnairesor retrieved from patients' medical records.Results A multiple linear regression model revealed that sex, age, the severity of COVID-19 symptoms (COVID-19_SS) and the family history of psychiatric disorder (FHPD) remain significant predictors of the level of anxiety at hospital admission (F (4, 82) = 14.916, p < 0.0001), wih an R 2 of 0.421. Participants' predicted level of anxiety at admission to the temporary COVID-19 hospital can be calculated as 0.931-0.708 × SEX +0.029 × AGE +0.674 × COVID-19_SS + 1.491 × FHPD, where SEX is coded as 1 for male and 0 for female, AGE is measured in years, COVID-19_SS is coded as 0 for asymptomatic, 1 for mild, 2 for moderate and 3 for severe, and FHPD as 0 for negative and 1 for positive. Comparison between individual HAM-A score at admission to the temporary hospital (median (IQR): 7.00 (2.00-11.75)) and 2 weeks after discharge (median (IQR): 0.00 (0.00-1.00)) revealed significant reduction in the level of anxiety among study participants (Z = -7.53, p < 0.001).Conclusion These data indicate that psychological changes exist in those hospitalized in temporary hospitals, but that they regress soon after they leave.

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  1. [23]Matza L.S. Morlock R. Sexton C. Malley K. Feltner D. Identifying HAM-A cutoffs for mild, moderate, and severe generalized anxiety disorder Int. J. Methods Psychiatr. Res. 19 4 2010 223 232 20718076 PMC6878292

Authors
Makević, A., Ilić, S., Pantović-Stefanović, M., Murić, N., Djordjević, N., & Jurišić, V.
Affiliations
  • University of Belgrade (RS)
  • University of Kragujevac (RS)
Corresponding author
Jurišić, Vladimir
Venue
International Journal of Disaster Risk Reduction
Publisher
Elsevier BV
Published
2022-07
Volume
77
Pages
103086
ISSN
2212-4209 (ISSN-L)
OpenAlex
W4281708301
Cited by
7
References
35
Citations by year
2025: 1 · 2024: 2 · 2023: 4
FWCI
1.60
Type
journal article
Language
en
Open access
Locations
  • International Journal of Disaster Risk Reduction (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
COVID-19 pandemic, anxiety, temporary hospitals, psychological distress, hospitalized patients, Hamilton Anxiety Rating Scale, SARS-CoV-2 infection severity, stress, post-discharge recovery

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