Predictors of Posttraumatic Stress Disorder in Patients with COVID-19: A Prospective Study.

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Bibliographic Details
Title: Predictors of Posttraumatic Stress Disorder in Patients with COVID-19: A Prospective Study.
Authors: Taş, İbrahim (AUTHOR), İnanlı, İkbal (AUTHOR)
Source: Journal of Loss & Trauma. 2025, Vol. 30 Issue 8, p1246-1267. 22p.
Subjects: Post-traumatic stress disorder, Risk assessment, Public hospitals, Statistical power analysis, Repeated measures design, Beck Hopelessness Scale, Intellect, Hospital care, Interviewing, Multiple regression analysis, Questionnaires, Sex distribution, Insomnia, Discharge planning, Descriptive statistics, Mann Whitney U Test, Anxiety, Disease prevalence, Longitudinal method, Financial stress, Analysis of variance, Friedman test (Statistics), Despair, Data analysis software, Confidence intervals, Infectious disease transmission, Sociodemographic factors, COVID-19, Nonparametric statistics, Regression analysis, Social stigma, Mental depression
Geographic Terms: Turkey
Abstract: We aimed to assess the prevalence of posttraumatic stress disorder (PTSD) in patients treated in hospital because of COVID-19. Further on, we investigated risk factors for the development of posttraumatic stress disorder in patients. 120 patients who were diagnosed with COVID-19 and treated at the hospital were included in the study. They were reevaluated in the first and third months after discharge. At third month, 108 patients completed the study. While 27.5% of patients hospitalized due to COVID-19 met the criteria for acute stress disorder (ASD) during hospitalization and, 1.7% of patients met the criteria for PTSD in the first month after discharge. In the third month, there were no patients who met the criteria for PTSD. It was observed that knowledge the mode of transmission, stigmatization, and economic anxiety due to the pandemic were associated with higher PCL-5 scores. PCL-5 scores were found to decrease more slowly in female patients (p = 0.001). Baseline logarithmic PCL-5 scores were an important predictor of PCL-5 scores in the first (B = 0.26 [95% CI: 0.27–0.55], p < 0.001), and third months (B = 0.31 [95% CI: 0.19–0.41], p < 0.001). The scales of insomnia severity (B = 0.35 [95% CI:0.17–0.53], p < 0.001), hopelessness (B = 0.24 [95% CI: 0.06–0.42], p < 0.001), depression (B = 0.26 [95% CI: 0.06–0.46], p < 0.001), and anxiety (B = 0.18 [95% CI: 0–0.31], p < 0.001) predicted log-PCL-5 scores. Posttraumatic stress symptoms are associated with many psychological, and socio-demographic factors. Therefore, a holistic approach is required to reduce the effects of the COVID-19 pandemic. Early psychiatric evaluation, adequate and accurate information can minimize the effects of trauma caused by COVID-19. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:We aimed to assess the prevalence of posttraumatic stress disorder (PTSD) in patients treated in hospital because of COVID-19. Further on, we investigated risk factors for the development of posttraumatic stress disorder in patients. 120 patients who were diagnosed with COVID-19 and treated at the hospital were included in the study. They were reevaluated in the first and third months after discharge. At third month, 108 patients completed the study. While 27.5% of patients hospitalized due to COVID-19 met the criteria for acute stress disorder (ASD) during hospitalization and, 1.7% of patients met the criteria for PTSD in the first month after discharge. In the third month, there were no patients who met the criteria for PTSD. It was observed that knowledge the mode of transmission, stigmatization, and economic anxiety due to the pandemic were associated with higher PCL-5 scores. PCL-5 scores were found to decrease more slowly in female patients (p = 0.001). Baseline logarithmic PCL-5 scores were an important predictor of PCL-5 scores in the first (B = 0.26 [95% CI: 0.27–0.55], p < 0.001), and third months (B = 0.31 [95% CI: 0.19–0.41], p < 0.001). The scales of insomnia severity (B = 0.35 [95% CI:0.17–0.53], p < 0.001), hopelessness (B = 0.24 [95% CI: 0.06–0.42], p < 0.001), depression (B = 0.26 [95% CI: 0.06–0.46], p < 0.001), and anxiety (B = 0.18 [95% CI: 0–0.31], p < 0.001) predicted log-PCL-5 scores. Posttraumatic stress symptoms are associated with many psychological, and socio-demographic factors. Therefore, a holistic approach is required to reduce the effects of the COVID-19 pandemic. Early psychiatric evaluation, adequate and accurate information can minimize the effects of trauma caused by COVID-19. [ABSTRACT FROM AUTHOR]
ISSN:15325024
DOI:10.1080/15325024.2025.2471813