Background: In-hospital mandatory quarantine of asymptomatic and symptomatic COVID-19-infected individuals was part of the national control strategy used to prevent the spread of the COVID-19 outbreak in Jordan. This study aims to evaluate depression, associated stressors, and various coping methods used among adult quarantined COVID-19-infected individuals. Methods: This cross-sectional study included all COVID-19-infected individuals who were obligatorily quarantined at King Abdullah University Hospital, Irbid, Jordan from March 15 to April 20, 2020. Symptoms of depression were assessed using the 9-item Patient Health Questionnaire after 10 days of quarantine. In addition, several questions regarding the patients’ sights with the health-care system, and coping methods were added. Demographic characteristics, clinical presentation, and comorbidities were collected from the medical records. Results: Out of 91 quarantined COVID-19 patients, a total of 66 completed the survey, with a participation rate of 72.5%. The majority were relatively young; the mean ± SD age was 35.8 ± 16.2 years (range 18– 79), 59.1% were females and 47% were asymptomatic. A considerable proportion of patients (44%) reported symptoms of depression, with 21% were at high risk of major depressive disorder. Depression symptoms were significantly more common among females than males [PHQ-9 score ≥ 10: 13 (92.9%) vs 1 (7.1%), respectively; p =0.004]. The majority of patients (71.2%) reported having problems with health-care services. Insufficient involvement in making treatment decisions was the most commonly reported concern (59.1%). Patients who reported problems in maintaining privacy, reaching out to their physicians, or receiving conflicting information from the medical staff, had more symptoms of depression compared with the satisfied ones ( p 0.05). On the other hand, those who were receiving sufficient support from the family, friends, or medical staff during quarantine, were less likely to have depression symptoms ( p 0.05). Furthermore, symptoms of depression were less in patients who stayed in touch with others using phone calls, texting, or social media ( p =0.024). Conclusion: Symptoms of depression were common among both symptomatic and asymptomatic quarantined COVID-19 patients. The support of family, friends, and medical staff was an essential alleviating factor. Facilitating adequate communication may promote the mental well-being of COVID-19-infected patients and help in reducing the risk of depression during the in-hospital quarantine.
展开▼
机译：背景：无症状和有症状Covid-19感染者的医院强制性检疫是国家控制策略的一部分，用于防止约旦的Covid-19爆发的传播。本研究旨在评估成人被隔离的Covid-19感染个体中使用的抑郁症，相关的压力源和各种应对方法。方法：这种横断面研究包括所有Covid-19感染者，在2020年3月15日至4月20日，约旦伊伯兰王国大学医院的所有Covid-19受感染的个体。使用9件患者健康问卷评估抑郁症的症状经过10天的检疫。此外，还加入了有关患者与保健系统的景点的几个问题，以及应对方法。从医疗记录中收集了人口特征，临床介绍和可用性。结果：出于91个隔离的Covid-19患者，共有66名完成调查，参与率为72.5％。大多数人比较年轻;平均值±SD年龄为35.8±16.2岁（范围18-79），59.1％是女性，47％是无症状的。相当大比例的患者（44％）报告抑郁症的症状，21％具有高抑郁症的高风险。抑郁症状在女性中比男性显着更常见[PHQ-9分数≥10：13（92.9％）vs1（7.1％）; p = 0.004]。大多数患者（71.2％）报告了卫生保健服务问题。不充分的参与制定治疗决策是最常见的关注（59.1％）。报告在维护隐私的患者，达到他们的医生或从医务人员接受冲突的信息，与满意的抑郁症有更多的抑郁症状（P <0.05）。另一方面，那些正在检疫在家庭，朋友或医务人员获得充分支持的人，不太可能有抑郁症状（P <0.05）。此外，使用电话，短信或社交媒体与他人保持联系的患者抑郁症较少（P = 0.024）。结论：抑郁症症状在症状和无症状隔离的Covid-19患者中常见。家庭，朋友和医务人员的支持是一个重要的缓解因素。促进足够的沟通可能会促进Covid-19感染患者的心理福祉，并帮助降低住院内检疫期间的抑郁风险。
展开▼
