Psychiatric manifestations and associated risk factors among hospitalised patients with COVID-19 in Edo State, Nigeria: a cross-sectional study.

Journal: BMJ open

Volume: 12

Issue: 5

Year of Publication: 2022

Affiliated Institutions:  Department of Mental Health, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria eokogbenin@gmail.com. Department of Mental Health, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria. Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria. Department of Mental Health, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria. Department of Mental Health, Edo University Iyamho, Iyamho, Edo State, Nigeria. Department of Child Health, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria. Department of Clinical Services, Federal Neuro Psychiatric Hospital, Benin City, Edo State, Nigeria. Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

Abstract summary 

To estimate the prevalence of depression and anxiety and identify associated risk factors in hospitalised persons with confirmed COVID-19 in Edo, Nigeria.A multicentre cross-sectional survey.Patients with COVID-19 hospitalised at the three government-designated treatment and isolation centres in Edo State, Nigeria.The study was conducted from 15 April to 11 November 2020 among 489 patients with confirmed COVID-19 and in treatment and isolation centres in Edo State, Nigeria. The mean age of participants was 43.39 (SD=16.94) years. Male participants were 252 (51.5%) and female were 237 (48.5%).The nine-item Patient Health Questionnaire for depression, (total score: 0-27, depression ≥10), Generalized Anxiety Disorder-7 for anxiety (total score: 0-21, anxiety ≥10), and social demographic and clinical characteristics for associated risk factors.Of the 489 participants, 49.1% and 38.0% had depressive and anxiety symptoms, respectively. The prevalence rates of depression, anxiety and combination of both were 16.2%, 12.9% and 9.0%, respectively. Moderate-severe symptoms of COVID-19, ≥14 days in isolation, worrying about the outcome of infection and stigma increased the risk of having depression and anxiety. Additionally, being separated/divorced increased the risk of having depression and having comorbidity increased the risk of having anxiety.A substantial proportion of our participants experienced depression, anxiety and a combination of both especially in those who had the risk factors we identified. The findings underscore the need to address modifiable risk factors for psychiatric manifestations early in the course of the disease and integrate mental health interventions and psychosocial support into COVID-19 management guidelines.

Authors & Co-authors:  Okogbenin Esther Osemudiamen EO Seb-Akahomen Omonefe Joy OJ Edeawe Osahogie O Ehimigbai Mary M Eboreime Helen H Odike Angela A Obagaye Michael Olukunle MO Aweh Benjamin Efi BE Erohubie Paul P Eriyo Williams W Inogbo Chinwe C Akhideno Peter P Eifediyi Gloria G Eifediyi Reuben R Asogun Danny A DA Okogbenin Sylvanus S

Study Outcome 

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Statistics
Citations :  World Health Organization (WHO) . Mental health and psychosocial considerations during the COVID-19 outbreak, 2020. Available: www.who.int
Authors :  16
Identifiers
Doi : e058561
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
COVID-19;Depression & mood disorders;PSYCHIATRY
Study Design
Study Approach
Country of Study
Niger
Publication Country
England