Aile Sağlığı Merkezlerine Kayıtlı COVID-19 Geçiren 40-80 yaş Arası Hastalarda Post Travmatik Stres Bozukluğunun Değerlendirilmesi

Öz

Amaç: Koronavirüs Hastalığı-2019 (COVID-19) hastalarının pandemi döneminde Post Travmatik Stres Bozukluğu (PTSB) düzeylerinin araştırılması ve bu durumun sosyodemografik ve diğer çevresel faktörlerle ilişkisinin saptanması amaçlanmıştır. Materyal ve Metot: Araştırmamız 5 farklı Aile Sağlığı Merkezine kayıtlı, COVID-19 geçiren 40-80 yaş arası 200 bireye, 20 soruluk bir anket ve Olayların Etkisi Ölçeği (OEÖ) uygulanan kesitsel tanımlayıcı bir araştırmadır. Bulgular: Katılımcıların ortalama OEÖ puanı 19,9±8,9 olup kadınlarda, bekarlarda, eğitim seviyesi ilköğretim ve öncesi olan ve koronavirüs hastalığı sonrası semptom devamı olan bireylerde anlamlı olarak daha yüksek saptanmıştır (p<0,05). OEÖ’nün PTSB için tanı koydurucu kesim değeri 30 alındığında, çalışmaya katılan bireylerin 26’sında (%13) PTSB açısından risk vardır. Sonuç: Katılımcıların COVID-19 sonrası PTSB risk düzeyi, salgının ilk zamanlarına göre düşük saptanmıştır. Bu düşüklüğün sebebi hastalığın toplumda daha iyi tanınır hale gelmesi, aşı uygulamalarının yaygınlaşması, karantina gibi kısıtlayıcı önlemlerin gevşetilmesidir. Bu yöndeki faaliyetler, gelecekteki olası salgınlarla mücadele açısından da önem taşımaktadır.

Anahtar Kelimeler

• COVID-19
• mental sağlık
• post travmatik stres bozukluğu

Evaluation of Post Traumatic Stress Disorder in Patients Aged 40-80 years Old with COVID-19 Registered with Family Health Centers

Abstract

Objective: This study aimed to investigate the levels of Post Traumatic Stress Disorder (PTSD) in Coronavirus Disease-2019 (COVID-19) patients during the pandemic and to determine the relationship of this situation with sociodemographic and other environmental factors. Materials and Methods: Our research is a cross-sectional descriptive study in which a 20-question survey and the Impact of Events Scale (IES) were applied to 200 individuals between the ages of 40 and 80 who had COVID-19 and were registered in 5 different Family Health Centers. Results: The participants' mean IES was 19.9±8.9. It was significantly higher in women, singles, individuals with primary education levels and before, and individuals with continued symptoms after COVID-19 (p<0.05). When the diagnostic cut-off value for PTSD for the IES is taken as 30, 26 (13.0%) individuals participating in the study have a risk for PTSD. Conclusions: The participants' PTSD risk level after COVID-19 was lower than in the early times of the epidemic. This low rate is the better recognition of the disease in society, the widespread use of vaccines, and the relaxation of restrictive measures such as quarantine. Activities in this direction are also crucial in combating possible future epidemics.

Keywords

• COVID-19
• mental health
• posttraumatic stress disorder

Kaynakça

1. Rosen V, Ayers G. An update on the complexity and importance of accurately diagnosing posttraumatic stress disorder and comorbid traumatic brain injury. Neurosci Insights. 2020;15:1-8.
2. Bolu A, Erdem M, Öznur T. Post traumatic stress disorder. Anatol J Clin Investig. 2014;8(2):98-104. Sun L, Sun Z, Wu L, et al. Prevalence and risk factors for acute posttraumatic stress disorder during the COVID-19 outbreak. J Affect Disord. 2021;283:129.
3. Taylor S. The psychology of pandemics: preparing for the next global outbreak of infectious disease. UK: Cambridge Scholars Publishing. 2019.
4. Polizzi C, Lynn SJ, Perry A. Stress and coping in the time of COVID-19: pathways to resilience and recovery. Clin Neuropsychiatry. 2020;17(2):59-62.
5. Qiui J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen Psychiatry. 2020;33(2):e100213. doi:10.1136/gpsych-2020-100213
6. Janiri D, Carfì A, Kotzalidis GD, et al. Posttraumatic stress disorder in patients after severe COVID-19 infection. JAMA Psychiatry. 2021;78(5):567-569.
7. Tarsitani L, Vassalini P, Koukopoulos A, et al. Posttraumatic stress disorder among COVID-19 survivors at 3-month follow-up after hospital discharge. J Gen Intern Med. 2021;36(6):1702-1707.
8. Creamer M, Bell R, Failla S. Psychometric properties of the Impact of Event Scale-Revised. Behav Res Ther. 2003;41(12):1486-1496.

9. Çorapçıoğlu A, Yargıç İ, Geyran P, Kocabaşoğlu N . “Validity and reliability of Turkish version of "Impact of Event Scale-Revised. New Symp. 2006;44(1):14-22.
10. Lasalvia A, Bonetto C, Porru S, et al. Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy. Epidemiol Psychiatr Sci. 2021;30:e1.
11. Cankardaş S, Sofuoğlu Z. Posttraumatic stress disorder symptoms and predictors of symptoms in people who experienced an earthquake or fire. Turkish Journal of Psychiatry. 2019;30(3):151-156.
12. Demir S. Comparison of normality tests in terms of sample sizes under different skewness and kurtosis coefficients. IJATE. 2022;9(2):397-409.
13. Hayran O. How scientific is scientific research: mixers, colliders and impact modifiers J Biotechnol Strateg. Health Res. 2021;5(3):166-177.
14. Blekas A, Voitsidis P, Athanasiadou M, et al. COVID-19: PTSD symptoms in Greek health care professionals. Psychol Trauma. 2020;12(7):812-819.
15. Otte MW, Vinkers CH, Habets PC, Van Ijzendoorn DGP, Tijdink JK . Analysis of 567,758 randomized controlled trials published over 30 years reveals trends in phrases used to discuss results that do not reach statistical significance. PloS Biol. 2022;20(2):e3001562.
16. Ma YF, Li W, Deng HB, et al. Prevalence of depression and its association with quality of life in clinically stable patients with COVID-19. J Affect Disord. 2020;275:145-148.
17. Kvestad I, Ranjitkar S, Ulak M, et al. Earthquake exposure and posttraumatic stress among Nepalese mothers after the 2015 earthquakes. Front. Psychol. 2019;10:734. doi:10.3389/fpsyg.2019.00734
18. Sun X, Li X, Huang J, An Y. Prevalence and predictors of PTSD, depression and posttraumatic growth among Chinese firefighters. Arch Psychiatr Nurs. 2019;34(1):14-18.
19. Zhang Y, Ma ZF. Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning Province, China: A cross-sectional study. Int J Environ Res Public Health. 2020;17(7):2381. doi:10.3390/ijerph17072381
20. Qutishat M, Abu Sharour L, Al-Dameery K, Al-Harthy I, Al-Sabei S. COVID-19–related posttraumatic stress disorder among Jordanian nurses during the pandemic. Disaster Med Public Health Prep. 2021;17:1-8. doi.org/10.1017/dmp.2021.199
21. Bromet EJ, Atwoli L, Kawakami N, et al. Post traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys. Psychol Med. 2017;47(2):227-241. doi:10.1017/S0033291716002026
22. Azoulay E, Kentish-Barnes N. A 5-point strategy for improved connection with relatives of critically ill patients with COVID-19. Lancet Respir Med. 2020;8(6):e52. doi:10.1016/S2213-2600(20)30223-X
23. Poyraz BÇ, Poyraz CA, Olgun Y, et al. Psychiatric morbidity and protracted symptoms after COVID-19. Psychiatry Res. 2021;295:113604. doi:10.1016/j.psychres
24. Zhu Z, Xu S, Wang H, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinical Medicine. 2020;24:100443.
25. Forte, G, Favieri, F, Tambelli R, Casagrande M. The enemy which sealed the World: Effects of COVID-19 diffusion on the psychological state of the Italian population. J Clin Med. 2020;9(6):1802. doi:10.3390/jcm9061802
26. Sekowski M, Gambin M , Hansen K, et al. Risk of developing posttraumatic stress disorder in severe COVID-19 survivors, their families and frontline healthcare workers: What should mental health specialists prepare for? Front Psychiatry. 2021;12:562899. doi:10.3389/fpsyt.2021.562899