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Mental disorders in patients of a specialized hospital for the aftercare of coronavirus infection

Abstract

A sample of 406 patients with confirmed and suspected coronavirus infection was considered in the study of features of mental disorders in patients admitted to a hospital specialized in the aftercare of patients with coronavirus infection. Of this number of patients, 16,9 % (69 people) had signs of a mental disorder.The structure of mental disorders was dominated by asthenia (92,7 %), affective disorders (52,1 %) and dementia (53,6 %). At the same time, asthenia was typical for all age groups of patients, anxiety disorders were more common in young and middle-aged patients, and dementia in elderly and senile patients. The most common mental disorders were recorded in the elderly and senile.In some patients, increased asthenic manifestations preceded a drop in blood oxygen saturation and deterioration of the condition. In some cases, anxiety and panic were preceded by a drop in blood oxygen saturation.In most patients with dementia, coronavirus infection contributed to the deterioration of the mental state of the patients. The percentage of disorders of consciousness was quite high (8,7 % of all consulted patients). Psychogenic factors play a significant role in the condition of patients, contributing to the formation of anxiety, panic response and psychological maladaptation. Among the hospitalized patients, there are patients who require psychiatric, psychotherapy and remote psychological support. It is also necessary to solve the problems of ensuring the safety of staff and patients in cases of developing conditions that are dangerous.

About the Authors

S. V. Kharitonov
Moscow scientific and practical center of medical rehabilitation, restorative and sports medicine
Russian Federation

Sergey V. Kharitonov – Dr. Med. Sci., Leading researcher 

Str. Zemlyanoj Val, 53, Moscow, 105120



I. V. Pogonchenkova
Moscow scientific and practical center of medical rehabilitation, restorative and sports medicine
Russian Federation

Irena V.Pogonchenkova – Dr. Med. Sci., Director 

Str. Zemlyanoj Val, 53, Moscow, 105120



N. P. Lyamina
Moscow scientific and practical center of medical rehabilitation, restorative and sports medicine
Russian Federation

Nadezhda P. Lyamina – Dr. Med. Sci., Professor, Head of the Department of medical rehabilitation

Str. Zemlyanoj Val, 53, Moscow, 105120



M. A. Rassulova
Moscow scientific and practical center of medical rehabilitation, restorative and sports medicine
Russian Federation

Marina A. Rassulova – Dr. Med. Sci., Professor, First Deputy Director of the state Autonomous healthcare institution 

Str. Zemlyanoj Val, 53, Moscow, 105120



References

1. Chevance A., Gourion D., Hoertel N. [et al.] Ensuring mental health care during the SARS- CoV- 2 epidemic in France: A narrative review. Encephale. 2020 Apr 2. doi: 10.1016/j.encep.2020.03.001.

2. Gabutti G., d'Anchera E., Sandri F. [et al.] Coronavirus: Update Related to the Current Outbreak of COVID-19. Version 2. Infect Dis Ther. 2020 Apr 8; Vol. 9, N 2. Рр. 1–13. doi: 10.1007/s40121-020-00295-5.

3. Jonathan P.R., Edward C., Dominic O. [et al.] Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet. May 18, 2020. doi: https://doi.org/10.1016/S2215-0366(20)30203-0.

4. Kotfis K., Williams R.S, Wilson J. [et al.] COVID-19: What do we need to know about ICU delirium during the SARS-CoV-2 pandemic? Anaesthesiol Intensive Ther. 2020 May 18: 40590. doi: 10.5114/ait.2020.95164.

5. Li H., Xue Q., Xu X. Involvement of the Nervous System in SARS-CoV-2 Infection. Neurotox Res. 2020 Jun; Vol.38, N 1. Рр. 1–7. doi: 10.1007/s12640-020-00219-8.

6. Li S., Wang Y., Xue J. [et al.] The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users. Int J Environ Res Public Health. 2020 Mar 19; Vol. 17, N 6. Р. 2032. doi: 10.3390/ijerph17062032.

7. Li W., Yang Y., Liu Z.H. [et al.] Progression of Mental Health Services during the COVID-19 Outbreak in China. Int J Biol Sci. 2020 Mar 15; Vol. 16, N 10. Рр. 1732–1738. doi: 10.7150/ijbs.45120.

8. Wang C., Pan R., Wan X. [et al.] Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020 Mar 6; Vol. 17, N 5. Р. 1729. doi: 10.3390/ijerph17051729.

9. Weise J., Schomerus G., Speerforck S. The SARS-CoV-2 Pandemic and an Attempted Suicide of a Patient with Delusional Disorder. Psychiatr Prax. 2020 May; Vol.47, N 4. Рр. 218–220. doi: 10.1055/a-1158–1745.

10. Yu P., Qi F., Xu Y. [et al.] Age-related rhesus macaque models of COVID-19. Animal Model Exp Med. 2020 Mar 30; Vol.3, N 1. Рр. 93–97. doi: 10.1002/ame2.12108.

11. Zhonghua L.X., Bing X., Za Z. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Epidemiology Working Group for NCIP Epidemic Response, Chinese Center for Disease Control and Prevention. 2020 Feb 10; Vol. 41, N 2. Рр. 145–151. doi: 10.3760/cma.j.issn.0254-6450.2020.02.003.


Review

For citations:


Kharitonov S.V., Pogonchenkova I.V., Lyamina N.P., Rassulova M.A. Mental disorders in patients of a specialized hospital for the aftercare of coronavirus infection. Bulletin of psychotherapy. 2020;(74):7-29. (In Russ.)

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ISSN 0132-182X (Print)
ISSN 2782-652X (Online)