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Anxiety among hospitalized COVID-19 patients: a case-control study from a tertiary teaching hospital in Malaysia.
Tan, Hui Jan; Shahren, Abdool Alleem Hj; Khoo, Ching Soong; Ng, Chen Fei; Zaidi, Wan Asyraf Wan; Kori, Najma; Periyasamy, Petrick; Eu, Choon Leng; Payus, Alvin Oliver; Hod, Rozita.
Afiliación
  • Tan HJ; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Shahren AAH; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Khoo CS; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Ng CF; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Zaidi WAW; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Kori N; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Periyasamy P; Department of Medicine, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Eu CL; Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
  • Payus AO; Department of Medicine, Faculty of Medicine, University Malaysia Sabah, Kota Kinabalu, Malaysia.
  • Hod R; Department of Community Health, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur, Malaysia.
Front Psychiatry ; 14: 1148019, 2023.
Article en En | MEDLINE | ID: mdl-37275980
Introduction: Anxiety has been increasingly recognized as part of the psychosocial health issues in COVID-19 patients. However, the impact of this topic may be underestimated in low- and middle-income countries. This study aimed to estimate the prevalence of and risk factors of anxiety in COVID-19 patients compared to controls in a local tertiary teaching hospital in Malaysia. Methods: In this case-control study, we analyzed data on adult patients aged 18 years and above hospitalized for COVID-19 infection with matched hospitalized controls. The demographic, clinical data and anxiety measures using the Generalized Anxiety Disorder-7 questionnaire were analyzed using univariate and multivariate analysis. Results: 86.6% in the COVID-19 group had anxiety, significantly higher than 13.4% in the control group (p = 0.001). The COVID-19 group was significantly associated with the GAD-7 severity (p = 0.001). The number of COVID-19 patients in the mild, moderate, and severe anxiety groups was 48 (84.2%), 37 (86%), and 18 (94.7%), respectively. Multiple logistic regression showed significant predictors for anxiety, including COVID-19 diagnosis and neurological symptoms. Anxiety was found 36.92 times higher in the patients with COVID-19 compared to those without COVID-19 (OR 36.92;95% CI 17.09, 79.78, p = 0.001). Patients with neurological symptoms were at risk of having anxiety (OR 2.94; 95% CI 1.03, 8.41, p = 0.044). Discussion: COVID-19 patients experience a significant disruption in psychosocial functioning due to hospitalization. The burden of anxiety is notably high, compounded by a diagnosis of COVID-19 itself and neurological symptomatology. Early psychiatric referrals are warranted for patients at risk of developing anxiety symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Front Psychiatry Año: 2023 Tipo del documento: Article País de afiliación: Malasia Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Front Psychiatry Año: 2023 Tipo del documento: Article País de afiliación: Malasia Pais de publicación: Suiza