Abstract
The building of cabin hospitals in Wuhan has been proven to be clinically successful in curing mild-symptom COVID-19 patients shortly after the outbreak of COVID-19 in late 2019. At the same time, the psychological effect of patients being treated in cabin hospitals and the features of the psychological status of the whole society remained ambiguous. This study adopted a self-administrated questionnaire to investigate the stress, depression, and anxiety status of patients in cabin hospitals (n = 212) and healthy participants outside of Hubei province (n = 221) in a population level from February 29 to March 01, 2020. The research measured participants’ stress response, depression level, and anxiety level as well as their social support system and their resilience level. Results indicated that in this sudden outbreak of an unknown pandemic, all people (whether or not infected) showed a generally high level of stress, depression, and anxiety, regardless of age, gender, education level, and employment. It also showed that people with a lower level of psychological resilience and social support reported more severe symptoms of depression, anxiety, and stress. Moreover, the research also found a positive effect of cabin hospitals on the psychological recovery of COVID-19 patients. Stress response of patients increased after entering into cabin hospitals, while after 3–4 weeks’ treatment, patients showed a decrease in their depression and anxiety levels. This research advances the understanding of COVID-19 and gives suggestions to optimize the design and the allocation of resources in cabin hospitals and better deal with the unknown pandemics in the future.
Highlights
Beginning in December 2019, the coronavirus disease 2019 (COVID-19) has swept over 200 countries and caused 106,508,151 cases including 2,323,815 deaths
Even though there was no significant difference in the general levels of stress, depression, and anxiety among the Cabin-1-2 group, Cabin-3-4 group, and Control group, we discovered a positive effect on psychological recovery of COVID-19 patients on a time scale
There was no significant difference in psychological response between cabin and control participants when faced with COVID19, which means that the psychological counseling, targeted humanistic care, and professional mental health services in cabin hospitals are critical for patients to reduce the psychological harm caused by the pandemic and recover to the same level as healthy people
Summary
Beginning in December 2019, the coronavirus disease 2019 (COVID-19) has swept over 200 countries and caused 106,508,151 cases including 2,323,815 deaths (data collected on February 08, 20211). Cabin hospitals were developed for the first time in China to tackle the COVID-19 outbreak (Chen et al, 2020). In research from Zhang et al (2020), they recruited 296 patients from Cabin Hospital in Wuhan, Hubei, China, with mild symptoms of COVID-19. This study shows that after taking the general demographics into consideration, higher levels of resilience were associated with lower anxiety and depression among mild COVID-19 patients in Wuhan, China. In research from Guo et al (2020), they investigated and compared the mental status of hospitalized patients with mild physical symptoms and matched controls that were COVID-19 negative. The results indicate that significant psychological distress was experienced by hospitalized COVID19 patients and that levels of depressive features may be related to the inflammation markers in these patients. Stigma and uncertainty of viral disease progression were two main concerns expressed by COVID-19 patients
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