Depression, Anxiety, Perceived Stress and Family Support in COVID-19 Patients

Mahdieh Hosseini Largani; Fatemeh Gorgani; Mahsa Abbaszadeh; Mohammad Arbabi; Sahar Karimpour Reyhan; Seyyed Farshad Allameh; Nazila Shahmansouri; Samaneh Parsa

doi:10.18502/ijps.v17i3.9725

Depression, Anxiety, Perceived Stress and Family Support in COVID-19 Patients

Iran J Psychiatry. 2022 Jul;17(3):257-264. doi: 10.18502/ijps.v17i3.9725.

Authors

Mahdieh Hosseini Largani¹, Fatemeh Gorgani¹, Mahsa Abbaszadeh¹, Mohammad Arbabi², Sahar Karimpour Reyhan¹, Seyyed Farshad Allameh¹, Nazila Shahmansouri², Samaneh Parsa¹

Affiliations

¹ Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
² Psychosomatic Medicine Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Objective: Coronavirus disease 2019 (COVID-19) was first reported in Iran in February 2020 and then quickly spread to many cities. Different factors contribute to the numerous psychological problems of this pandemic in patients, healthcare workers and the community. This study investigated the prevalence of perceived stress, anxiety and depression in COVID-19 patients hospitalized between March and April 2020 and revealed associations of these factors with social support received from family. Method : In this cross-sectional study, patients with COVID-19 admitted between 21st of March and 22nd of April 2020 were evaluated by three questionnaires: Anxiety and depression were evaluated using the hospital anxiety and depression scale (HADS), stress levels were evaluated using the four-item perceived stress scale (PSS-4) and family support was evaluated using the perceived social support scale-family (PSS-Fa). In addition to obtaining prevalence of the noted psychological disorders and their relationship with demographic details, relationship of stress, anxiety and depression with family support was also investigated using the Pearson's correlation coefficient. Results: Participants comprised 100 COVID-19 patients (38 females and 62 males). Findings suggested high levels of perceived stress in 26% of the participants, anxiety symptoms existed in 29% and borderline conditions existed in 17%. Moreover, depressive and its borderline symptoms were respectively observed in 17% and 23%. Family support was found to negatively and significantly correlated with anxiety (Pearson correlation = -0.249, P < 0.05) and depression. (Pearson correlation = -0.221, P < 0.05). Conclusion: Given the high prevalence of anxiety and depression in hospitalized COVID-19 patients, it is recommended to further focus on non-clinical interventions, such as providing psychological first aids, boosting psychological resilience, and enabling greater family support, in efforts to prevent transformation of these psychological symptoms into long-term psychological disorders.

Keywords: Anxiety; COVID-19; Depression; Social Support; Stress.