Impact of peritraumatic dissociation in hospitalized patients with COVID-19 pneumonia: A longitudinal study

Article Article scientifique Article Impact of peritraumatic dissociation in hospitalized patients with COVID-19 pneumonia: A longitudinal study eng 2021-05-31 2021-08 author Benzakour Lamyae 0000-0002-1298-9659 889158 author Braillard Olivia Thanh-Lan 543059 author Mazzola Viridiana 797988 author Gex Dominique 696082 author Nehme Mayssam 840942 author Aebischer Perone Sigiriya 0000-0002-4702-8671 911614 author Agoritsas Thomas 0000-0002-6182-9969 516829 author Kopp Garance 633704 author Cereghetti Sara Salome 526238 author Bondolfi Guido 135439 author Lador Frédéric 89384 53-59 10.1016/j.jpsychires.2021.05.031 34091347 0022-3956 PMC8165636 Objective: Psychiatric impact of COVID-19 is still explored and previous data suggest potential risks of anxiety, depression and PTSD related to COVID-19. We aimed to explore the predictive value of risk factors during hospitalization (T0) for COVID-19 for anxiety, depression and PTSD and at three months (T1) because they could differ over these two time points. Methods: We performed a screening of mental suffering in hospitalized patients for COVID-19, as well as specialized care and three months longitudinal follow-up. We evaluated at T0 and at T1 the prevalence of anxiety, depression and PTSD in survivors who benefited from early detection and treatment, and assessed possible risk factors in adults surviving COVID-19 between the 30th March and the 1st of July 2020. Results: 109 patients were screened at T0 and 61 of these were reassessed at T1. At T0, we found 44.9% pathological score on peritraumatic dissociation experiences questionnaire (PDEQ), 85.4% of post-traumatic stress disorder symptoms (PTSS), 14.6% of pathological rate of post-traumatic stress disorder scale 5 (PCL5) and at T1, 86.9% of PTSS, 10.6% of pathological rate of PCL5. Finally, PDEQ score at T0 during hospitalization was positively correlated to PCL-5 score at T1 (β = 0.26, p = 0.01) and that was confirmed in multivariate analysis (β = 0.04, p = 0.02 for the log of PCL-5 per point on the PDEQ). Conclusion: Screening of psychiatric symptoms during hospitalization for COVID-19 should be systematic, especially peritraumatic dissociation to offer an early treatment and prevent PTSD, which seemed frequent for hospitalized patients for COVID-19 at three months. Coronavirus infections Pneumonia Post traumatic Risk factors Stress disorders Dewey 616.89 Dewey 613 Dewey 616 60 Département de psychiatrie 225 64 Département de santé et médecine communautaires 22A 56 Département de médecine 221 false 418 Médecine psychosomatique, neurosciences cliniques et mindfulness 690 Journal of psychiatric research 140 069fe30a-1562-4f57-b891-c4b010b796d9 Article (Published version) Public 1-s2.0-S0022395621003009-main.pdf 859668 application/pdf CC BY-NC-ND-4.0 openAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires Faculté de médecine / Section de médecine clinique / Département de médecine

Title	Published in	Year	Views	Downloads

Impact of peritraumatic dissociation in hospitalized patients with COVID-19 pneumonia: A longitudinal study	Journal of psychiatric research	2021	280	185
Analyse temps-fréquence de la dynamique temporelle du traitement d'informations d'agentivité, d'intentionnalité et de finalité		2016	154	0

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Gex, Dominique