Nghiên cứu đặc điểm rối loạn trầm cảm, rối loạn stress sau sang chấn ở bệnh nhân COVID-19 kéo dài bằng thang điểm PHQ-9, PCL-5 tại Bệnh viện Đa khoa Xanh Pôn

Abstract

Objective: To determine the prevalence and relationship of depressive disorder and post-traumatic stress disorder in patients with prolonged COVID-19 to propose measures for early detection, screening, diagnosis, and treatment management. Subject and method: The study used a cross-sectional descriptive research method; 378 patients with prolonged COVID-19; using the PHQ-9 Questionnaire to assess depression; the PCL-5 questionnaire assesses traumatic stress disorder. Result: The proportion of patients with depression was 16.1%, of which: 11.1% had mild depression, moderate depression accounted for 4%, and 1% had major depression. The percentage of patients with post-traumatic stress disorder on the PCL-5 scale was 1.3%. Women have a higher rate of depression than men. The age group ≥ 50 was 2.9 times more likely to have depression than the age group < 50, p=0.007. The group of patients with many symptoms in the acute phase was 2.2 times more likely to have depression than the group with few symptoms, p=0.035. The patients who were very worried about complications of COVID-19 were 4.8 times more likely to develop depression than those with little/no anxiety, p=0.000. The group of patients who feared being stigmatized had a higher probability of depression 2.709 than the group without fear, p=0.013. Conclusion: Most have mild depression; factors associated with the depressive disorder include age ≥50 years, high anxiety about complications of COVID-19, anxiety about stigma, ≥ 5 symptoms in the acute phase.