The course and determinants of post-traumatic stress over 12 months after hospitalization for COVID-19.

COVID-19 PCL-5 questionnaire cohort follow-up medium-term post-traumatic stress disorder (PTSD)

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 28 04 2022
accepted: 24 06 2022
entrez: 1 8 2022
pubmed: 2 8 2022
medline: 2 8 2022
Statut: epublish

Résumé

To assess the trajectory of symptoms and symptom-defined post-traumatic stress disorder (PTSD) from 1.5 to 12 months after hospitalization for COVID-19 and determine risk factors for persistent symptoms and PTSD. This was a prospective cohort study of consecutive patients discharged after hospitalization for COVID-19 before 1 June 2020 in six hospitals in Southern Norway. Symptom-defined PTSD was assessed by the post-traumatic stress disorder (PTSD) checklist for DSM-5 (PCL-5) at 1.5, 3 and/or 12 months after hospitalization, using DSM-5 criteria. Changes in PCL-5 symptom score and the prevalence of PTSD were analyzed with multivariable mixed models. In total, 388 patients were discharged alive, and 251 (65%) participated. Respondents had a mean (SD) age of 58.4 (14.2) years, and 142 (57%) were males. The prevalence of symptom-defined PTSD was 14, 8, and 9% at 1.5, 3, and 12 months, respectively. WHO disease severity for COVID-19 was not associated with PCL-5 scores. Female sex, lower age and non-Norwegian origin were associated with higher PCL-5 scores. The odds ratio (OR) (95%CI) for PTSD was 0.32 (0.12 to 0.83, The level of PTSD symptoms decreased from 1.5 to 3 months after hospitalization, but did not decrease further to 12 months, and there was no association between PTSD symptoms and COVID-19 disease severity.

Identifiants

pubmed: 35911221
doi: 10.3389/fpsyt.2022.931349
pmc: PMC9334651
doi:

Types de publication

Journal Article

Langues

eng

Pagination

931349

Informations de copyright

Copyright © 2022 Stavem, Heir, Dammen, Brønstad, Lerum, Durheim, Lund, Aarli and Einvik.

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Auteurs

Knut Stavem (K)

Department of Pulmonary Medicine, Akershus University Hospital, Lørenskog, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway.

Trond Heir (T)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.

Toril Dammen (T)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.

Eivind Brønstad (E)

Thoracic Department, St. Olavs Hospital, Trondheim, Norway.
Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Tøri Vigeland Lerum (TV)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Department of Pulmonary Medicine, Oslo University Hospital Ullevål, Oslo, Norway.

Michael T Durheim (MT)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Department of Respiratory Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.

Kristine M A Lund (KMA)

Department of Infectious Diseases, Østfold Hospital Trust Kalnes, Grålum, Norway.

Bernt B Aarli (BB)

Department of Thoracic Medicine, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Science, University of Bergen, Bergen, Norway.

Gunnar Einvik (G)

Department of Pulmonary Medicine, Akershus University Hospital, Lørenskog, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Classifications MeSH