tetano
Editor, Senior Moderator
Can J Respir Ther
. 2023 Jan 20;59:20-25.
doi: 10.29390/cjrt-2022-017. eCollection 2023.
Post-traumatic stress among COVID-19 survivors: A descriptive study of hospitalized first-wave survivors
Gilles Rival[SUP] 1 [/SUP], Sophie Chalbet[SUP] 1 [/SUP], Clarisse Dupont[SUP] 1 [/SUP], Philippe Brun[SUP] 1 [/SUP], Lorraine Letranchant[SUP] 2 [/SUP], Claire Reynaud[SUP] 2 [/SUP], Aurélie Dureault[SUP] 2 [/SUP], Julien Saison[SUP] 2 3 [/SUP], Mathieu Jeannot[SUP] 4 [/SUP], Sophie Barbour[SUP] 1 [/SUP], Michaël Bacconnier[SUP] 5 [/SUP], Valérie Paulus[SUP] 1 3 [/SUP], Hélène Champagne[SUP] 2 [/SUP], Guillaume Buiret[SUP] 3 [/SUP]
Affiliations
Abstract
Introduction: The coronavirus Severe Acute Respiratory Syndrome Coronavirus Type 1 induces a severe respiratory disease, coronavirus disease 2019 (COVID-19). After Severe Acute Respiratory Syndrome Coronavirus Type 1 and Middle East Respiratory Syndrome infection, increased post-traumatic stress disorder (PTSD) rates were described.
Methods: This single-centred, prospective study aimed to evaluate the rates of PTSD in patients who were hospitalized for COVID-19. Inclusion criteria were COVID-19 patients hospitalized in the intensive care unit (ICU) or in a standard unit with at least 2 L/min oxygen. Six months post-hospitalization, subjects were assessed for PTSD using a validated screening tool, the Post-Traumatic Stress Checklist-5 (PCL-5).
Results: A total of 40 patients were included. No demographic differences between the ICU and non-ICU groups were found. The mean PCL-5 score for the population was 8.85±10. The mean PCL-5 score was 6.7±8 in the ICU group and 10.5±11 in the non-ICU group (P=0.27). We screened one patient with a positive PCL-5 score and one with a possible PCL-5 cluster score. Nine patients had a PCL-5 score of up to 15. Seven patients reported no symptoms. Seven patients accepted a psychological follow-up: one for PTSD, three for possible PTSD and three for other psychological problems.
Discussion: The PCL-5 tool can be used by lung physicians during consultations to identify patients for whom follow-up mental health assessment and treatment for PTSD are warranted.
Conclusion: Lung physicians should be aware of the risk of PTSD in patients hospitalized for COVID-19 and ensure appropriate screening and follow-up care.
Keywords: COVID-19; crisis intervention; mental health; post-acute COVID-19 syndrome; post-traumatic; stress disorders.
. 2023 Jan 20;59:20-25.
doi: 10.29390/cjrt-2022-017. eCollection 2023.
Post-traumatic stress among COVID-19 survivors: A descriptive study of hospitalized first-wave survivors
Gilles Rival[SUP] 1 [/SUP], Sophie Chalbet[SUP] 1 [/SUP], Clarisse Dupont[SUP] 1 [/SUP], Philippe Brun[SUP] 1 [/SUP], Lorraine Letranchant[SUP] 2 [/SUP], Claire Reynaud[SUP] 2 [/SUP], Aurélie Dureault[SUP] 2 [/SUP], Julien Saison[SUP] 2 3 [/SUP], Mathieu Jeannot[SUP] 4 [/SUP], Sophie Barbour[SUP] 1 [/SUP], Michaël Bacconnier[SUP] 5 [/SUP], Valérie Paulus[SUP] 1 3 [/SUP], Hélène Champagne[SUP] 2 [/SUP], Guillaume Buiret[SUP] 3 [/SUP]
Affiliations
- PMID: 36741307
- PMCID: PMC9854389
- DOI: 10.29390/cjrt-2022-017
Abstract
Introduction: The coronavirus Severe Acute Respiratory Syndrome Coronavirus Type 1 induces a severe respiratory disease, coronavirus disease 2019 (COVID-19). After Severe Acute Respiratory Syndrome Coronavirus Type 1 and Middle East Respiratory Syndrome infection, increased post-traumatic stress disorder (PTSD) rates were described.
Methods: This single-centred, prospective study aimed to evaluate the rates of PTSD in patients who were hospitalized for COVID-19. Inclusion criteria were COVID-19 patients hospitalized in the intensive care unit (ICU) or in a standard unit with at least 2 L/min oxygen. Six months post-hospitalization, subjects were assessed for PTSD using a validated screening tool, the Post-Traumatic Stress Checklist-5 (PCL-5).
Results: A total of 40 patients were included. No demographic differences between the ICU and non-ICU groups were found. The mean PCL-5 score for the population was 8.85±10. The mean PCL-5 score was 6.7±8 in the ICU group and 10.5±11 in the non-ICU group (P=0.27). We screened one patient with a positive PCL-5 score and one with a possible PCL-5 cluster score. Nine patients had a PCL-5 score of up to 15. Seven patients reported no symptoms. Seven patients accepted a psychological follow-up: one for PTSD, three for possible PTSD and three for other psychological problems.
Discussion: The PCL-5 tool can be used by lung physicians during consultations to identify patients for whom follow-up mental health assessment and treatment for PTSD are warranted.
Conclusion: Lung physicians should be aware of the risk of PTSD in patients hospitalized for COVID-19 and ensure appropriate screening and follow-up care.
Keywords: COVID-19; crisis intervention; mental health; post-acute COVID-19 syndrome; post-traumatic; stress disorders.