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Depression in quarantined patients during the COVID-19 pandemic

Published online by Cambridge University Press:  13 August 2021

A. Guermazi*
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
J. Ben Thabet
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
A. Zouari
Affiliation:
Department Of Paychiatry C, Hedi chaker hospital, Sfax, Tunisia
J. Aloulou
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
R. Hammami
Affiliation:
Cardiology Department, Hedi chaker University hospital, sfax, Tunisia
H. Ben Ayed
Affiliation:
Community Health And Epidemiology Department, Hedi chaker University hospital, sfax, Tunisia
A. Sallemi
Affiliation:
Histology Department, Hedi chaker University hospital, sfax, Tunisia
C. Marrekchi
Affiliation:
Infectiology Department, Hedi chaker University hospital, sfax, Tunisia
S. Hdiji
Affiliation:
Hematology Department, Hedi chaker University hospital, sfax, Tunisia
I. Gargouri
Affiliation:
Occuaptional Department, HediChaker Hospital, sfax, Tunisia
M. Kassis
Affiliation:
Community Health And Epidemiology Department, HediChaker Hospital, sfax, Tunisia
M. Turki
Affiliation:
Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia
S. Kammoun
Affiliation:
Pneumology, HediChaker Hospital, sfax, Tunisia
M. Larbi Masmoudi
Affiliation:
Department Of Occupational Medicine, HEDI CHAKER hospital, SFAX, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Quarantine for suspected patients of being infected by the COVID-19 can lead to negative consequences for mental health and the appearance of depressive symptoms.

Objectives

To assess the prevalence of depression in quarantined patients, and to analyze the associated factors.

Methods

This was a descriptive and analytical survey, carried out from April 4 to May 30, 2020, with 149 patients consulting the COVID-19 sorting box at the Hedi Chaker CHU in Sfax. Suspected COVID-19 patients were contacted by phone during their quarantine and invited to participate in our study. The Patient Health Questionnaire (PHQ-9) scale was used to assess the severity of depression. Cutoffs of 5, 10, 15, and 20 represent minimal, mild, moderate, moderately severe, and severe levels of depression based on PHQ-9 scores. A cutoff score of 10 determines major depression.

Results

The results showed a prevalence of major depression of 10.7%. Of all patients, 89.3% had minimal to mild depression; 10% had moderate to moderately severe depression and 0.7% had severe depression. The PHQ-9 score was statistically correlated with travel to a suspect area during the 14 days preceding the consultation (p = 0.008), contact with a subject confirmed COVID-19 (p = 0.01), previous follow-up in psychiatry (p = 0.047), the change of residence during quarantine (p = 0.045), the fear of transmitting the disease to relatives (p = 0.00) and the positive result of the nasopharyngeal swab (p = 0.00).

Conclusions

Psychological distress was felt in our patients. We recommend that necessary measures should be taken to combat depression.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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