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J Ment Health. 2021 Sep 30;1-9. doi: 10.1080/09638237.2021.1979491. Epub 2021 Sep 30.

Anxiety, depression and coping strategies among chronic medical patients with coronavirus disease-2019: a multicenter follow-up cohort study.

Journal of mental health (Abingdon, England)

Hend Ibrahim Shousha, Nagwan Madbouly, Shimaa Afify, Noha Asem, Eman Fouad, Rabab Maher, Suaad Sayed Moussa, Amr Abdelazeem, Eslam Mohamed Youssif, Khalid Yousef Harhira, Kariman Kamal, Hazem Elmorsy, Hassan Elgarem, Dalia Omran, Mohamed Hassany, Basem Eysa, Mohamed El Kassas

Affiliations

  1. Endemic Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  2. Psychiatry Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  3. National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
  4. The Public Health Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  5. Ministry of Health and Population, Cairo, Egypt.
  6. Students hospital, Cairo University, Cairo, Egypt.
  7. Endemic medicine department, Faculty of Medicine, Helwan University, Helwan, Egypt.
  8. 15 Mayo Smart Hospital, Ministry of Health and Population, Cairo, Egypt.
  9. Clinical Psychologist, Cairo, Egypt.

PMID: 34591722 DOI: 10.1080/09638237.2021.1979491

Abstract

BACKGROUND: Studies have shown that COVID-19 patients experience high levels of anxiety, depression, and stress during the pandemic. Patients adopt different coping strategies to reduce their psychological distress.

AIM: To compare the immediate and long-term psychological impact of COVID-19 disease on patients with and without chronic medical illnesses (CMI) and identify coping styles of both groups during the peak of COVID-19 disease in Egypt.

METHODS: This is a cohort follow-up study, that included an online survey consisting of General Health Questionnaire-12, Taylor Manifest Anxiety Scale, Beck Depression Inventory and Brief-COPE scale. The Post-Traumatic Stress Disorder (PTSD) Checklist was completed after 6 months. Questionnaires were distributed to adult patients with a confirmed diagnosis of SARS-CoV-2 virus infection during their quarantine in Egypt.

RESULTS: There was no significant difference between the two groups regarding anxiety and depression during the acute infection. Patients without CMI relied significantly on the use of informational support to cope with COVID-19 disease. Patients with CMI continued to show significant depressive symptoms after 6 months without significant PTSD symptoms.

CONCLUSIONS: COVID-19 has similar immediate psychological impact on patients with and without CMI. However, patients with CMI continue to show depression on long-term follow-up.

Keywords: Coping; Egypt; anxiety; avoidant; chronic medical illnesses; depression

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