COVID-19 and psychiatric inpatients: Sociodemographic and clinical outcomes in a COVID specific psychiatric service

Yıl 2025, Cilt: 30 Sayı: 3, 427 - 434, 25.09.2025

Talha Ağaç , Hasan Gökçay , Mustafa Solmaz

https://doi.org/10.21673/anadoluklin.1623457

Öz

Aim: This study aims to evaluate the sociodemographic and clinical characteristics of psychiatric inpatients diagnosed with COVID-19 during the pandemic, and to assess the interaction between psychiatric disorders and infectious diseases in a COVID-specific psychiatric service.

Methods: A total of 24 psychiatric inpatients diagnosed with COVID-19 and fulfilling DSM-5 diagnostic criteria were retrospectively analyzed between September 2020 and January 2021. Sociodemographic variables (age, gender, marital status, education level, smoking, alcohol/substance use, and employment status) and clinical outcomes (length of hospital stay, psychiatric diagnoses, and discharge methods) were recorded.

Results: Among the patients, 71% were female and 38% were smokers. Bipolar and related disorders (42%) were the most common psychiatric diagnoses, followed by depressive disorders (29%) and schizophrenia (21%). Married patients had a significantly shorter hospital stay than unmarried patients (8.75 ± 2.91 vs. 13.09 ± 5.57 days, p=0.04). Smokers required a significantly longer hospital stay than non-smokers (14.37 ± 6.04 vs. 9.76 ± 4.32 days, p=0.026). A total of 66.6% of patients were discharged after completing treatment for both COVID-19 and psychiatric conditions, while 16.6% were referred to COVID-negative psychiatric wards for further psychiatric care.

Conclusion: The findings highlight the complex challenges posed by the co-occurrence of psychiatric disorders and COVID-19. Sociodemographic factors such as smoking and marital status significantly influenced the outcome of hospitalization. Female patients and patients with bipolar disorder are more likely to be hospitalized, suggesting that these groups are the most vulnerable during pandemic. This study highlights the importance of specialized COVID-19 psychiatric services, tailored interventions, and the need for future research to optimize the care of psychiatric patients during pandemics.

Anahtar Kelimeler

COVID-19 , demographic factors , inpatients , pandemic , psychiatric disorders

Etik Beyan

Ethics committee approval for this study with registration number 24/284 was obtained from the xxx University xxx Scientific Research Ethics Committee on April 18, 2024, with meeting number 2024/5 and decision number 5/13.

COVID-19 ve psikiyatri hastaları: COVID spesifik psikiyatri servisinde sosyodemografik ve klinik bulgular

Öz

Amaç: Bu çalışma, pandemi sırasında COVID-19 tanısı almış psikiyatri yatan hastalarının sosyodemografik ve klinik özelliklerini değerlendirmeyi ve COVID-19’a özgü bir psikiyatri servisinde psikiyatrik bozukluklar ile enfeksiyon hastalıkları arasındaki etkileşimi incelemeyi amaçlamaktadır.

Yöntemler: COVID-19 tanısı konulan ve DSM-5 tanı kriterlerini karşılayan toplam 24 psikiyatri yatan hastası, Eylül 2020 ile Ocak 2021 arasında retrospektif olarak analiz edilmiştir. Sosyodemografik değişkenler (yaş, cinsiyet, medeni durum, eğitim seviyesi, sigara kullanımı, alkol/madde kullanımı ve istihdam durumu) ve klinik sonuçlar (hastanede yatış süresi, psikiyatrik tanılar ve taburculuk yöntemleri) kaydedilmiştir.

Bulgular: Hastaların %71’i kadın, %38’i sigara kullanıcısıydı. En yaygın psikiyatrik tanı bipolar ve ilişkili bozukluklar (%42) olup, bunu depresif bozukluklar (%29) ve şizofreni (%21) izledi. Evli hastaların hastanede yatış süresi, evli olmayanlara göre anlamlı derecede daha kısaydı (8.75 ± 2.91 gün vs. 13.09 ± 5.57 gün, p=0.04). Sigara içen hastaların hastanede yatış süresi, sigara içmeyenlere göre anlamlı derecede daha uzundu (14.37 ± 6.04 gün vs. 9.76 ± 4.32 gün, p=0.026). Hastaların %66.6’sı hem COVID-19 hem de psikiyatrik durum için tedavilerini tamamladıktan sonra taburcu edilirken, %16.6’sı daha ileri psikiyatrik bakım için COVID negatif psikiyatri servislerine sevk edilmiştir.

Sonuç: Bulgular, psikiyatrik bozukluklar ile COVID-19’un eş zamanlı görülmesinin oluşturduğu karmaşık zorlukları vurgulamaktadır. Sigara kullanımı ve medeni durum gibi sosyodemografik faktörler, hastanede yatış sonuçlarını anlamlı şekilde etkilemiştir. Kadın hastaların ve bipolar bozukluğu olan hastaların hastaneye yatırılma sıklığının daha yüksek olması, bu grupların pandemi sırasında en savunmasız gruplar olduğunu düşündürmektedir. Çalışma, pandemiler sırasında psikiyatri hastalarının bakımını optimize etmek için özel COVID-19 psikiyatri servislerinin ve bireyselleştirilmiş müdahalelerin önemini ortaya koymaktadır.

Anahtar Kelimeler

COVID-19 , pandemi , psikiyatrik bozukluklar , sosyodemografik faktörler , yatan hastalar

Etik Beyan

Bu çalışma için xxx Üniversitesi xxx Bilimsel Araştırmalar Etik Kurulu'ndan 18 Nisan 2024 tarihinde 2024/5 toplantı numarası ve 5/13 karar numarası ile 24/284 kayıt numarası ile etik kurul onayı alınmıştır.

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