eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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2/2021
vol. 30
 
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abstract:
Original paper

Characteristics of psychiatric manifestations among hospitalized COVID-19 patients and their correlation with disease severity - a cross sectional study

Bhumi G. Khanpara
1
,
Bhumika R. Patel
1
,
Prakash Mehta
1
,
Pradhyuman Chaudhary
1
,
Nikita Ravtani
1

  1. Department of Psychiatry, GMERS Medical College and Hospital, Sola, Ahmedabad, India
Adv Psychiatry Neurol 2021; 30 (2): 73-78
DOI: https://doi.org/10.5114/ppn.2021.108265
Online publish date: 2021/08/15
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Introduction
COVID-19 severity, characteristics of psychiatric symptoms using a brief psychiatric rating scale, and sociodemographic variables were explored and evaluated.

Material and methods
An exploratory study was conducted during the COVID-19 pandemic, from July 13th to July 26th 2020, in an isolation facility at the COVID-designated Sola hospital in Ahmedabad, India. A total of 201 inpatients diagnosed with COVID-19 by reverse transcription-polymerase chain reaction (RT-PCR) were included in this study. We assessed the presence and severity of psychiatric symptoms using the Brief Psychiatric Rating Scale (BPRS).

Results
Of the 201 COVID-19 patients, 63 (31.3%), 36 (18%), 16 (8%) and 14 (7%) experienced anxiety, tension, somatic concern and depressed mood respectively. The effect of the severity of COVID-19 on the mean of the total BPRS score was statistically significant (F = 17.2, p = 0.000). In the severe COVID-19 group, the mean of the total BPRS score (22.6 ± 4.8) was significantly higher than in the moderate (20.3 ± 4.0) and mild (19.1 ± 2.2) COVID-19 groups. High levels of serum ferritin, IL-6 and D-dimer were associated with the presence of neuropsychiatric symptoms like hallucinatory behavior and disorientation.

Conclusions
The majority of COVID-19 patients experienced anxiety, tension and somatic concern. The presence of serious psychiatric symptoms like hallucinatory behavior and disorientation were predominantly seen in severe COVID-19 patients with significantly high serum inflammation and coagulation markers.

keywords:

inflammatory markers, neuropsychiatric manifestations, coronavirus disease (COVID-19)
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