Abstract
<i>Background</i>: Coronavirus disease 2019 (COVID-19) is threatening human physical and mental health. The features of mild and severe cases of COVID-19 may be different, and the impact of psychological intervention is not clear. It is necessary to analyze clinical and psychological characteristics of COVID-19 patients simultaneously. <i>Objective</i>: To evaluate the clinical and psychological differences between mild and severe COVID-19 patients and determine the efficacy of psychological intervention on the patients. <i>Methods</i>: Clinical and psychological data of the patients with COVID-19 were collected. The patients were grouped into mild and severe groups according to their clinical symptoms, and subdivided into psychological intervention group and non-psychological intervention group according to whether they received psychological intervention. The efficiency of psychological interventions in patients with emotional disorder was further explored. <i>Results</i>: 162 participants were included in this study (severe group: 41 patients, mild group: 121 patients), 72 of them received psychological assessment. The demographic, clinical and laboratory characteristics of mild and severe cases were quite different. Most patients in both groups showed mild to moderate anxiety and depression at admission. After psychological intervention for about three weeks, psychological scale scores (HAMA and HAMD score) of patients in the psychological intervention group (n=54) were significantly lower than those in the non-psychological intervention group (n=18) (<i>P</i><0.05). <i>Conclusions</i>: Early psychological intervention can significantly improve the emotional state of COVID-19 patients. Comprehensive treatments comprising combined clinical and psychological interventions may be effective in the treatment of COVID-19 patients. The physical and mental health of COVID-19 patients requires long-term follow-up.
Highlights
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is spreading around the world and compromising the psychological wellbeing of people
Patients in the severe group had a higher proportion of cardiovascular disease, type 2 diabetes and Biomedical Sciences 2021; 7(1): 29-35 respiratory diseases than those in the mild group (P
Our findings are consistent with a recent meta-analysis [10], which showed that aged over 65, smoking patients might face a greater risk of developing into the critical or mortal condition, and the comorbidities such as hypertension, diabetes, cardiovascular disease, and respiratory diseases could greatly affect the prognosis of the COVID-19
Summary
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is spreading around the world and compromising the psychological wellbeing of people. The features of mild and severe cases of COVID-19 may be different, and the impact of psychological intervention is not clear. Objective: To evaluate the clinical and psychological differences between mild and severe COVID-19 patients and determine the efficacy of psychological intervention on the patients. The patients were grouped into mild and severe groups according to their clinical symptoms, and subdivided into psychological intervention group and non-psychological intervention group according to whether they received psychological intervention. The demographic, clinical and laboratory characteristics of mild and severe cases were quite different. Most patients in both groups showed mild to moderate anxiety and depression at admission. Conclusions: Early psychological intervention can significantly improve the emotional state of COVID-19 patients. The physical and mental health of COVID-19 patients requires long-term follow-up
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