Background: During infectious disease pandemic, patients with chronic medical diseases were at increased risk of mental health problems. Therefore, the study assessed posttraumatic stress symptoms amid the COVID-19 pandemic among patients with chronic medical diseases. Methods: A facility-based cross-sectional study was conducted from August 1- 20, 2020. Systematic random sampling was used to select 422 patients with chronic medical diseases (diabetes, hypertension, and HIV). Impact of the event scale revised was used to assess posttraumatic stress symptoms. Data were analyzed by using SPSS version 23. Multivariable logistic regression analysis with 95% CI and odds ratio were fitted to declare the significantly associated variables at P value < 0.05. Results: 230 (54.5%) of the participants were reported to have posttraumatic stress symptoms. Being female, AOR=3.65 (95% CI 2.08, 6.40), Duration of illness greater than five-year AOR=3.12 (95% CI 1.73, 5.65), presence of anxiety AOR=6.52 (95% CI 3.71, 11.47), Age ≥55 year AOR=3.45 (95% CI 1.49, 7.98), diagnosis of diabetes AOR=7.49 (95% CI 3.65, 15.35), hypertension AOR=4.45 (95% CI 2.29, 8.64) and poor social support AOR=2.16 (95% CI 1.26, 3.68) were observed to have significant association with posttraumatic stress symptoms. Conclusion: Significant posttraumatic stress symptoms were reported by more than half of the patients with chronic medical diseases. This was of considerable concern indicating a significant impact of COVID-19 pandemic on this group, which seeks attention for early psychological intervention.
Published in | International Journal of Biomedical Engineering and Clinical Science (Volume 7, Issue 2) |
DOI | 10.11648/j.ijbecs.20210702.14 |
Page(s) | 35-42 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Coronavirus Disease, Posttraumatic, Stress, Patients, Chronic Disease, Ethiopia
[1] | American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fifth edition, Arlington, VA,. American psychiatric association; 2013. |
[2] | Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395 (10227): 912–20. Available from: http://dx.doi.org/10.1016/S0140-6736 (20)30460-8. |
[3] | Forte G, Favieri F, Tambelli R, Casagrande M. COVID-19 pandemic in the italian population: Validation of a post-traumatic stress disorder questionnaire and prevalence of PTSD symptomatology. Int J Environ Res Public Health. 2020; 17 (11): 1–16. |
[4] | Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender di ff erences matter. Psychiatry Res. 2020; 287: 112921. |
[5] | Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004; 10 (7): 1206–12. |
[6] | jun Shigemura, Robert J. Ursano, Joshua C. Morganstein, Mie Kurosawa DMB. Public responses to the novel in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci. 2020; 74: 277–83. |
[7] | Popovi S, Šarlija M, Kesedži I. Impact of human disasters and covid-19 pandemic on mental health: potential of digital psychiatry. Psychiatr Danub. 2020; 32 (1): 25–31. |
[8] | Torales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020; 66 (4): 317–20. |
[9] | Asim M, Van Teijlingen E, Sathian B. Coronavirus Disease (COVID-19) and the risk of Post-Traumatic Stress Disorder: A mental health concern in Nepal. Nepal J Epidemiol. 2020; 10 (2): 841–4. |
[10] | Bo H, Li W, Yang Y, Wang Y, Zhang Q, Cheung T, et al. Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. Psychol Med. 2020; 1–2. |
[11] | Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020; 3 (3): 1–12. |
[12] | Liu W. Prevalence and Risk Factors of Acute Posttraumatic Stress Symptoms during the COVID-19 Outbreak in Wuhan, China. pre print. 2020. |
[13] | Patricia L, Hernández- MA. Psychological Distress and Signs of Post-Traumatic Stress in Response to the COVID-19 Health Emergency in a Mexican Sample. Psychol Res Behav Manag. 2020; 13: 589–97. |
[14] | Qiu 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): 19–21. |
[15] | Seyahi E, Poyraz BC, Sut N, Akdogan S, Hamuryudan V. The psychological state and changes in the routine of the patients with rheumatic diseases during the coronavirus disease (COVID-19) outbreak in Turkey: a web-based cross-sectional survey. Rheumatol Int. 2020; 40: 1229–38. Available from: https://doi.org/10.1007/s00296-020-04626-0. |
[16] | Zhao, Xudong JY. Patients with chronic illness urgently need integrated physical and psychological care during the COVID-19 outbreak. Asian J Psychiatr. 2020; 51: 102081. |
[17] | Queiroz B, Fonseca ICDB, Luı I. Spotlight for healthy adolescents and adolescents with preexisting chronic diseases during the COVID-19 pandemic. Clin 2020; 75e1931. 2020; 75: 1–4. |
[18] | Spinelli A, Pellino G. COVID-19 pandemic: perspectives on an unfolding crisis. Br J Surg. 2020; 107 (7): 785–7. |
[19] | Onder G, Rezza G, Brusaferro S. Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA. 2020; 323 (18): 1775–6. |
[20] | Boyraz G, Legros DN. Coronavirus Disease (COVID-19) and Traumatic Stress: Probable Risk Factors and Correlates of Posttraumatic Stress Disorder. J Loss Trauma. 2020; 25 (6–7): 503–22. Available from: https://doi.org/10.1080/15325024.2020.1763556. |
[21] | Zürcher SJ, Kerksieck P, Adamus C, Burr C, Lehmann AI, Huber FK, et al. Prevalence of mental health problems during virus epidemics in the general public, health care workers and survivors: A rapid review of the evidence. pre print. 2020; 1–26. |
[22] | Louvardi M, Pelekasis P, Chrousos GP, Darviri C. Mental health in chronic disease patients during the COVID-19 quarantine in Greece. Palliat Support Care. 2020; 1–6. Available from: https://doi.org/10.1017/ S1478951520000528. |
[23] | Chudasama Y V., Gillies CL, Zaccardi F, Coles B, Davies MJ, Seidu S, et al. Impact of COVID-19 on routine care for chronic diseases: A global survey of views from healthcare professionals. Diabetes Metab Syndr Clin Res Rev. 2020; 14: 965–7. Available from: https://doi.org/10.1016/j.dsx.2020.06.042. |
[24] | Chenneville T, Gabbidon K, Hanson P, Holyfield C. The impact of COVID-19 on HIV treatment and research: A call to action. Int J Environ Res Public Health. 2020; 17: 1–14. |
[25] | Hartmann-Boyce J, Morris E, Goyder C, Kinton J, Perring J, Nunan D, et al. Diabetes and COVID-19: Risks, management, and learnings from other national disasters. Diabetes Care. 2020; 1695–703. Available from: https://doi.org/10.2337/dc20-1192. |
[26] | Chudasama Y V., Zaccardi F, Gillies CL, Dhalwani NN, Yates T, Rowlands A V., et al. Leisure-time physical activity and life expectancy in people with cardiometabolic multimorbidity and depression. J Intern Med. 2020; 287: 87–99. |
[27] | Wondimu W, Girma B. Challenges and silver linings of COVID-19 in Ethiopia –short review. J Multidiscip Healthc. 2020; 13: 917–22. |
[28] | World Health Organization. Mental Health Atlas: Member State Profile Ethiopia. 2017; 2016: 2018. Available from: https://www.who.int/mental_health/evidence/atlas/profiles-2017/ETH.pdf?ua=1. |
[29] | Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html. |
[30] | Steffen O, Christopher D, Ville D, Jose L, Casey P, Wilkinson G, et al. Negative life events, social support and gender difference in depression. Soc Psychiatry Psychiatr Epidemiol. 2006; 41: 444–51. |
[31] | Creamer M, Bell R, Failla S. Psychometric properties of the Impact of Event Scale-Revised. Behav Res Ther. 2003; 41: 1489–96. |
[32] | Reda AA. Reliability and Validity of the Ethiopian Version of the Hospital Anxiety and Depression Scale (HADS) in HIV Infected Patients. PLoS One. 2011; 6 (1): 1–6. |
[33] | Rodríguez BO, Sánchez TL. The psychosocial impact of COVID-19 on health care workers. Int Braz J Urol. 2020; 46 (Suppl 1): 195–200. |
[34] | Arigo D, Juth V, Trief P, Wallston K, Ulbrecht J, Smyth JM. Unique relations between post-traumatic stress disorder symptoms and patient functioning in type 2 diabetes. J Health Psychol. 2020; 25 (5): 652–64. |
[35] | Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C, et al. A nationwide survey of psychological distress among italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. Int J Environ Res Public Health. 2020; 17 (9): 1–14. |
[36] | Matud MP, Bethencourt JM, Ibáñez I. Gender differences in psychological distress in Spain. Int J Soc Psychiatry. 2015; 61 (6): 560–8. |
[37] | James LM, Van Kampen E, Miller RD, Engdahl BE. Risk and protective factors associated with symptoms of post-traumatic stress, depression, and alcohol misuse in OEF/OIF veterans. Mil Med. 2013; 178 (2): 159–65. |
[38] | Gros DF, Flanagan JC, Korte KJ, Mills AC, Brady KT. Relations between Social Support, PTSD Symptoms, and Substance Use in Veterans. Psychol Addict Behav. 2016; 30 (7): 764–70. |
[39] | Ahmad F, Othman N, Lou W. Posttraumatic Stress Disorder, Social Support and Coping Among Afghan Refugees in Canada. Community Ment Health J. 2020; 56 (4): 597–605. Available from: https://doi.org/10.1007/s10597-019-00518-1. |
[40] | Angkaw AC, Haller M, Pittman JOE, Nunnink SE, Norman SB, Lemmer JA, et al. Alcohol-related consequences mediating PTSD symptoms and mental health–related quality of life in OEF/OIF combat veterans. Mil Med. 2015; 180 (6): 670–5. |
[41] | Brady KT, Sonne SC. The Role of Stress in Alcohol Use, Alcoholism Treatment, and Relapse. Alcohol Res Heal. 1999; 23 (4): 263–71. |
[42] | Lee TMC, Chi I, Chung LWM, Chou KL. Ageing and psychological response during the post-SARS period. Aging Ment Heal. 2006; 10 (3): 303–11. |
[43] | Vancampfort D, Koyanagi A, Ward PB, Veronese N, Carvalho AF, Solmi M, et al. Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229, 293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries. Am J Epidemiol. 2017; 186 (8): 979–89. |
[44] | Falco G,, Piero Stanley Pirro E, Castellano, Anfossi M, And GB, Gianotti L. The Relationship between Stress and Diabetes Mellitus. J Neurol Psychol. 2015; 3 (1): 1–7. |
[45] | Park HY, Park WB, Lee SH, Kim JL, Lee JJ, Lee H, et al. Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East respiratory syndrome in South Korea. BMC Public Health. 2020; 20 (1): 1–9. |
[46] | Karatzias T, Shevlin M, Murphy J, McBride O, Ben-Ezra M, Bentall RP, et al. Posttraumatic Stress Symptoms and Associated Comorbidity During the COVID-19 Pandemic in Ireland: A Population-Based Study. J Trauma Stress. 2020; 33 (4): 365–70. |
[47] | Tagliabue F, Galassi L, Mariani P. The “Pandemic” of Disinformation in COVID-19. SN Compr Clin Med. 2020; 2 (9): 1287–9. |
[48] | Xiao Y, Torok ME. Taking the right measures to control COVID-19. Lancet Infect. 2020; 20: 1315. Available from: https://doi.org/10.1016/ S1473-3099 (20)30152-3. |
[49] | Dong M, Zheng J. Letter to the editor: Headline stress disorder caused by Netnews during the outbreak of COVID-19. Heal Expect. 2020; 23 (2): 259–60. |
APA Style
Mustefa Mohammedhussein, Mohammedamin Hajure, Jemal Ebrahim, Aman Dule. (2021). Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia. International Journal of Biomedical Engineering and Clinical Science, 7(2), 35-42. https://doi.org/10.11648/j.ijbecs.20210702.14
ACS Style
Mustefa Mohammedhussein; Mohammedamin Hajure; Jemal Ebrahim; Aman Dule. Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia. Int. J. Biomed. Eng. Clin. Sci. 2021, 7(2), 35-42. doi: 10.11648/j.ijbecs.20210702.14
AMA Style
Mustefa Mohammedhussein, Mohammedamin Hajure, Jemal Ebrahim, Aman Dule. Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia. Int J Biomed Eng Clin Sci. 2021;7(2):35-42. doi: 10.11648/j.ijbecs.20210702.14
@article{10.11648/j.ijbecs.20210702.14, author = {Mustefa Mohammedhussein and Mohammedamin Hajure and Jemal Ebrahim and Aman Dule}, title = {Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia}, journal = {International Journal of Biomedical Engineering and Clinical Science}, volume = {7}, number = {2}, pages = {35-42}, doi = {10.11648/j.ijbecs.20210702.14}, url = {https://doi.org/10.11648/j.ijbecs.20210702.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20210702.14}, abstract = {Background: During infectious disease pandemic, patients with chronic medical diseases were at increased risk of mental health problems. Therefore, the study assessed posttraumatic stress symptoms amid the COVID-19 pandemic among patients with chronic medical diseases. Methods: A facility-based cross-sectional study was conducted from August 1- 20, 2020. Systematic random sampling was used to select 422 patients with chronic medical diseases (diabetes, hypertension, and HIV). Impact of the event scale revised was used to assess posttraumatic stress symptoms. Data were analyzed by using SPSS version 23. Multivariable logistic regression analysis with 95% CI and odds ratio were fitted to declare the significantly associated variables at P value < 0.05. Results: 230 (54.5%) of the participants were reported to have posttraumatic stress symptoms. Being female, AOR=3.65 (95% CI 2.08, 6.40), Duration of illness greater than five-year AOR=3.12 (95% CI 1.73, 5.65), presence of anxiety AOR=6.52 (95% CI 3.71, 11.47), Age ≥55 year AOR=3.45 (95% CI 1.49, 7.98), diagnosis of diabetes AOR=7.49 (95% CI 3.65, 15.35), hypertension AOR=4.45 (95% CI 2.29, 8.64) and poor social support AOR=2.16 (95% CI 1.26, 3.68) were observed to have significant association with posttraumatic stress symptoms. Conclusion: Significant posttraumatic stress symptoms were reported by more than half of the patients with chronic medical diseases. This was of considerable concern indicating a significant impact of COVID-19 pandemic on this group, which seeks attention for early psychological intervention.}, year = {2021} }
TY - JOUR T1 - Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia AU - Mustefa Mohammedhussein AU - Mohammedamin Hajure AU - Jemal Ebrahim AU - Aman Dule Y1 - 2021/06/04 PY - 2021 N1 - https://doi.org/10.11648/j.ijbecs.20210702.14 DO - 10.11648/j.ijbecs.20210702.14 T2 - International Journal of Biomedical Engineering and Clinical Science JF - International Journal of Biomedical Engineering and Clinical Science JO - International Journal of Biomedical Engineering and Clinical Science SP - 35 EP - 42 PB - Science Publishing Group SN - 2472-1301 UR - https://doi.org/10.11648/j.ijbecs.20210702.14 AB - Background: During infectious disease pandemic, patients with chronic medical diseases were at increased risk of mental health problems. Therefore, the study assessed posttraumatic stress symptoms amid the COVID-19 pandemic among patients with chronic medical diseases. Methods: A facility-based cross-sectional study was conducted from August 1- 20, 2020. Systematic random sampling was used to select 422 patients with chronic medical diseases (diabetes, hypertension, and HIV). Impact of the event scale revised was used to assess posttraumatic stress symptoms. Data were analyzed by using SPSS version 23. Multivariable logistic regression analysis with 95% CI and odds ratio were fitted to declare the significantly associated variables at P value < 0.05. Results: 230 (54.5%) of the participants were reported to have posttraumatic stress symptoms. Being female, AOR=3.65 (95% CI 2.08, 6.40), Duration of illness greater than five-year AOR=3.12 (95% CI 1.73, 5.65), presence of anxiety AOR=6.52 (95% CI 3.71, 11.47), Age ≥55 year AOR=3.45 (95% CI 1.49, 7.98), diagnosis of diabetes AOR=7.49 (95% CI 3.65, 15.35), hypertension AOR=4.45 (95% CI 2.29, 8.64) and poor social support AOR=2.16 (95% CI 1.26, 3.68) were observed to have significant association with posttraumatic stress symptoms. Conclusion: Significant posttraumatic stress symptoms were reported by more than half of the patients with chronic medical diseases. This was of considerable concern indicating a significant impact of COVID-19 pandemic on this group, which seeks attention for early psychological intervention. VL - 7 IS - 2 ER -