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Yıl:2021; Cilt: 24; Sayı: 2>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2021;24(2):239-245
COVID-19 tanısı ile tedavi gören bireylerin iyileşme dönemi sonrasında psikiyatrik tanı açısından değerlendirilmesi
B Yılbaş
Sanko Üniversitesi, Gaziantep
Amaç: COVID-19 pandemisinin ruh sağlığı üzerine etkilerine ilişkin henüz kısıtlı sayıda araştırma yapılmıştır. Yapılan çalışmalarda daha çok genel topluma ve risk altındaki sağlık çalışanlarına odaklanılmıştır. Henüz literatürde COVID-19 geçirenlerde iyileşme dönemi sonrasındaki ruhsal durumu inceleyen herhangi bir çalışma bulunmamaktadır. Çalışmamızda COVID-19 geçiren bireylerin iyileşme dönemi sonrasında psikiyatrik tanı açısından değerlendirilmesi amaçlanmaktadır. Yöntem: Çalışmaya COVID-19 geçirdiği klinik testlerle doğrulan, taburculuk sonrasında en az bir aylık süre geçen 50 katılımcı dahil edildi. Bulgular: Katılımcıların 5’ine (%10) tanımlanmış diğer bir kaygı bozukluğu (yaygın kaygı bozukluğu tanı kriterlerini karşılamakla birlikte henüz süre tanı ölçütünü karşılamamaktadır), 3’üne (%6) panik bozukluk, 2’sine (%4) tanımlanmış diğer bir bedensel belirti bozukluğu ve ilişkili bozukluk (kısa bedensel belirti bozukluğu), 1’ine (%2) major depresyon bozukluğu, 1’ine (%2) travma sonrası stres bozukluğu, 1’ine (%2) obsesif kompulsif bozukluk, 1’ine (%2) ise tanımlanmış diğer bir uykusuzluk bozukluğu (kısa uykusuzluk bozukluğu) tanısı konmuştur. Katılımcıların 6’sında (%12) tanı kriterlerini karşılamayacak düzeyde anksiyete belirtileri, 2’sinde (%4) ise tanı kriterlerini karşılamayacak düzeyde depresif belirtiler mevcuttu. Diğer 28 (%56) katılımcıda herhangi bir ruhsal bozukluk saptanmamıştır. Sonuç: Çalışmamız her ne kadar önemli kısıtlılıklar içerse de COVID-19 viral enfeksiyonu geçiren bireylerde iyileşme dönemi sonrasında anksiyete belirtilerinin oldukça sık görüldüğünü göstermektedir
Psychiatric evaluation of individuals treated with the diagnosis of COVID-19 following recovery period
Objective: A limited number of studies are available on the impact of COVID-19 pandemic on mental health. Studies have mostly focused on general population and healthcare providers at risk. There are no studies in the literature investigating the mental status of COVID-19 patients during the post-treatment period. The aim of the present study was to evaluate the mental status of the adults recovering from COVID-19. Method: Fifty adults with a clinically confirmed diagnosis of COVID-19 and a post-discharge period of at least one month were included in the study. Results: Among the study sample, other specified anxiety disorder (diagnostic criteria for generalized anxiety disorder were met except for the duration) was diagnosed in 5 (10%) individuals, panic disorder in 3 (6%), other specified somatic symptom and related disorder (brief somatic symptom disorder) in 2 (4%) individuals, and major depressive disorder, posttraumatic stress disorder, obsessive-compulsive disorder and other specified insomnia disorder (brief insomnia disorder) in one individual each (%2). There were 6 (12%) participants with subthreshold anxiety and 2 (4%) participants with subthreshold depression. No mental disorder was identified in the remaining 28 (56%) participants. Discussion: Despite important limitations, the current study revealed that anxiety symptoms are quite common in individuals recovering from COVID-19.

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