Factors associated with mental health outcomes after COVID-19: A 24-month follow-up longitudinal study

作者：Hernán F Guillen-Burgos, Juan Francisco Gálvez-Flórez, Sergio Moreno, Isabella Gonzalez, Manuela Guillen, Juan‐Manuel Anaya · 发表于：General Hospital Psychiatry · 年份：2023 · DOI：10.1016/j.genhosppsych.2023.08.009 · 被引用次数：36 · 研究领域：COVID-19 and Mental Health、Long-Term Effects of COVID-19、Pharmacological Receptor Mechanisms and Effects

OBJECTIVE: Investigate the proportion of mental health outcomes (MHOs) and associated factors in COVID-19 survivors during a 24-month follow-up period. METHOD: An observational, prospective study was performed in a teaching hospital in Barranquilla, Colombia, from April 1, 2020, to August 30, 2022. A cohort of 1565 COVID-19 survivors was recruited after discharge from the emergency room (ER), inpatient floor (IF), and intensive care unit (ICU) services and followed for 24 -months. The clinical assessment included screening scales for symptoms of anxiety, depressive, post-traumatic stress disorder (PTSD), and insomnia. Sociodemographic and clinical factors were also collected to identify possible associated factors. Descriptive, bivariate and mixed random-effect linear models were performed. RESULTS: A total of 1565 patients were included, of whom 785 (50.35%) were men. A large proportion of patients with mental symptoms were identified. After 24-months, the proportions of anxiety, depression, PTSD, and insomnia symptoms remained high at 16.55%, 21.79%, 35.27%, and 23.86%, respectively. Social factors, location of hospital stays, physical comorbidities, and the severity of COVID-19 were significantly associated with anxiety, depression, PTSD, and insomnia symptoms. CONCLUSIONS: COVID-19's 2-year deleterious impacts on mental health, as well as the variables influencing these findings, have been documented. These results should aid in the development of public health initiative...