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Psychological Impact, Mental Health and Sleep Disorder Among Patients Hospitalized and Health Care Workers During the 2019 Coronavirus Outbreak (COVID-19)

Completed
Conditions
Covid19
Interventions
Other: Questionnaire
Registration Number
NCT04497246
Lead Sponsor
Murielle Surquin
Brief Summary

COVID-19 is an infectious disease caused by the last coronavirus discovered, called SARS-CoV-2. Symptoms encountered in COVID-19 are: cough, breathing difficulties (dyspnea, chest pain, etc.), pyrexia, anosmia (loss of smell) and/or dysgeusia (loss of taste), but also ENT symptoms (rhinitis type, odynophagia), headaches, asthenia, muscle pain, confusion and diarrhea. Infection with SARS-CoV-2 can also be asymptomatic. COVID-19 can be passed from person to person by respiratory droplets expelled when a person speaks, coughs or sneezes. The currently estimated incubation period ranges from 1 to 14 days, and most often this is around 5 days.

According to a literature review, there is strong evidence that COVID-19 has an impact on mental health (anxiety being the most common symptom) whether in the general population, healthcare workers or vulnerable populations. The objective of this project is to assess mental health and sleep disorders within two populations: elderly patients and nursing staff.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1150
Inclusion Criteria
  • Subjects 65 years of age or older, having been hospitalized for COVID-19 within the CHU Brugmann Hospital
  • People aged 18 or over, member of the nursing staff of the CHU Brugmann Hospital, having worked during COVID-19.
Exclusion Criteria
  • Incoherent patients
  • Severe presbycusis
  • Oral expression impairment
  • Insurmountable language barrier

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Elderly patientsQuestionnaireElderly patients (over 65 years old) hospitalized for COVID-19 within the CHU Brugmann Hospital
Health Care professionalsQuestionnaireHealth Care professionals working within the CHU Brugmann Hospital
Primary Outcome Measures
NameTimeMethod
Patient Health Questionnaire-9 (PHQ-9)15 minutes

The PHQ-9 is the depression module, which scores each of the nine DSM-IV criteria as "0" (not at all) to "3" (nearly every day). It has been validated for use in primary care. It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment.

Impact Event Scale-Revised (IES-R)15 minutes

The IES-R is a 22-item self-report measure that assesses subjective distress caused by traumatic events.Items are rated on a 5-point scale ranging from 0 ("not at all") to 4 ("extremely"). The IES-R yields a total score (ranging from 0 to 88) and subscale scores can also be calculated for the Intrusion, Avoidance, and Hyperarousal subscales.

Insomnia severity index (ISI)15 minutes

The ISI is a 7-item self-report questionnaire assessing the nature, severity, and impact of insomnia.The dimensions evaluated are: severity of sleep onset, sleep maintenance, and early morning awakening problems, sleep dissatisfaction, interference of sleep difficulties with daytime functioning, noticeability of sleep problems by others, and distress caused by the sleep difficulties. A 5-point Likert scale is used to rate each item (e.g., 0 = no problem; 4 = very severe problem), yielding a total score ranging from 0 to 28. The total score is interpreted as follows: absence of insomnia (0-7); sub-threshold insomnia (8-14); moderate insomnia (15-21); and severe insomnia (22-28).

Generalised Anxiety Disorder-7 (GAD-7)15 minutes

Self-administered patient questionnaire used as a screening tool and severity measure for generalised anxiety disorder (GAD).The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of 'not at all', 'several days', 'more than half the days', and 'nearly every day', respectively, and adding together the scores for the seven questions. Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively. When used as a screening tool, further evaluation is recommended when the score is 10 or greater.

Secondary Outcome Measures
NameTimeMethod
Hospitalization duration1 year

Hospitalization duration

Medical history1 year

History of chronic diseases

Tobacco consumption1 year

Tobacco consumption : none - stable - increased - diminished

Demographic data1 year

Age, gender, familial status, home status (living alone/family support/healthcare support/ retirement home).

Alcohol consumption1 year

Alcohol consumption : none - stable - increased - diminished

ICU stay1 year

Hospitalization within the intensive care unit (yes/no) with or without intubation

Trial Locations

Locations (1)

CHU Brugmann

🇧🇪

Brussels, Belgium

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