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The spectrum and severity of psychopathological symptoms in previously healthy individuals who have had severe COVID-19 pneumonia

Published online by Cambridge University Press:  13 August 2021

I. Belokrylov ,
N. Kotovskaya ,
N. Deryugina ,
A. Izyumov ,
K. Eruslanova  and
M. Balaeva
I. Belokrylov*
Affiliation:
Department Of Psychiatry And Medical Psychology, Peoples Friendship University of Russia (RUDN University), Moscow, Russian Federation
N. Kotovskaya
Affiliation:
Department Of Psychiatry And Medical Psychologi, Peoples Friendship University of Russia (RUDN University), Moscow, Russian Federation
N. Deryugina
Affiliation:
Department Of Math, Lomonosov Moscow State Univeristy, Moscow, Russian Federation
A. Izyumov
Affiliation:
Laboratory Of General Geriatrics And Neurogeriatrics, Pirogov RNMU – RCRCG, Moscow, Moscow, Russian Federation
K. Eruslanova
Affiliation:
Laboratory Of Cardiovascular Aging, Pirogov RNMU – RCRCG, Moscow, Moscow, Russian Federation
M. Balaeva
Affiliation:
Department Of Aging Diseases, Pirogov RNMU – RCRCG, Moscow, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

The medical novelty of COVID-19 requires a comprehensive study of its impact on various areas of human health, including mental health.

Objectives

To study the spectrum and severity of psychopathological disorders in previously healthy patients of different age groups who have had moderate and severe COVID-19 pneumonia.

Methods

Immediately after stabilization of the physical condition, patients completed the Symptom Checklist-90-R, designed to assess 11 parameters: somatization (SOM), obsessive-compulsive (OS), interpersonal sensitivity (INT), depression (DEP), anxiety (ANX), hostility (HOS), phobic anxiety (PHOB), paranoid ideas (PAR), psychoticism (PSY). Patients with cognitive impairment were excluded.

Results

The study involved 148 patients aged from 26 to 84 years. In the general sample, psychopathological symptoms were detected mainly on the SOM, DEP, ANX, HOS scales. To a lesser extent - on the INT and PAR scales; were practically not determined on the PSY and PHOB scales. Most of the symptoms are significantly more intense in patients over 46 years old (n = 129) compared with the younger population (<46 years old, n = 19). Older patients according to SOM revealed 1.23 points (IQR 0.5) versus 0.85 (IQR 0.7) among young people, DEP - 0.88 (IQR 0.44) vs. 0.47 (IQR 0.44), ANX - 0.66 (IQR 0.44) vs. 0.43 (IQR 0.29), OS - 0.55 (IQR 0.5) vs. 0.31 (IQR 0.25) and HOS - 0.46 (IQR 0.34) vs. 0.29 (IQR 0.09).

Conclusions

Patients recovering from severe COVID-19 pneumonia require psychiatric evaluation and subsequent differentiated psychotherapeutic rehabilitation, especially for the age group over 46.

Conflict of interest

No significant relationships.

Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S281 - S282
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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