Psychiatric Consultation for COVID-19 Patients

NCT04395872 | Unknown

• 1 other identifier: CR-20-062
• Study Type: observational
• Target: 54
• Locations: 0 countries
• Sites: N/A

Brief Summary

In this study, the content and results of the psychiatric consultation on patients in Corona Care Ward were verified retroactively, and the effects of COVID-19 patients' emotional state and psychological support and crisis intervention were assessed on their emotional state. Patients who are admitted to the COVID-19 care unit of the Catholic University of Daegu Hospital are subject to consultation with the psychiatrist. By retrospectively reviewing the medical records of the request and the results of the subjects, We collected Socio-demographic information, medical severity (oxygen saturation, chest x-ray readings, medication being administered), clinical psychological scale (PHQ-9, GAD-7, PC-PTSD-5, AIS, P4, SF-36, SCL-90-R) This study evaluates whether there is a difference in psychological scale according to differences in socio-demographic status and medical severity, and compares psychological measures before and after referral to mental health medicine to evaluate the effectiveness of psychiatric counseling.

Conditions

Covid19; Psychiatric Problem; Isolation, Social

Keywords

COVID-19; consultation

Outcome Measures

Primary Outcomes (6)

• Change of PHQ-9 (Patient Health Questionnaire-9)

  for assess depressive symptom

  On admission and at the time of discharge, on average 2 months

• Change of GAD-7 (Patient Health Questionnaire-9)

  for assess anxiety symptom

  On admission and at the time of discharge, on average 2 months

• Change of PC-PTSD-5 (Primary Care PTSD Screen for DSM-5)

  for assess PTSD symptom

  On admission and at the time of discharge, on average 2 months

• Change of AIS (Athens Insomnia Scale)

  for assess insomnia

  On admission and at the time of discharge, on average 2 months

• Change of P4 (P4 Suicidality Screener)

  for assess suicidal idea

  On admission and at the time of discharge, on average 2 months

• Change of SF-36 (Short Form Health Survey Questionnaire)

  for assess health associated QoL

  On admission and at the time of discharge, on average 2 months

Secondary Outcomes (1)

• Change of SCL-90-R

  On admission and at the time of discharge, on average 2 months

Study Arms (1)

COVID-19

Among patients who were confirmed as COVID-19 and admitted to the COVID-19 management ward of Daegu Catholic University Hospital, patients who were consulted by the Department of psychiatry was selected as participants. Socio-demographic information, medical severity (oxygen saturation, chest x-ray readings, medication being administered), clinical psychological scale (PHQ-9, GAD-7, PC-PTSD-5, AIS, P4, SF-36, SCL-90-R). were collected from participants. It evaluates whether there is a difference in the psychological scale according to the difference in participants' sociodemographic status and medical severity, and evaluates the effectiveness of psychiatric counseling by comparing clinical psychological measures before and after referral to department of psychiatry.

Behavioral: Psychiatric counseling

Interventions

Psychiatric counseling BEHAVIORAL

Patients who are admitted to the COVID-19 care unit of the Catholic University of Daegu Hospital are subject to consultation with the psychiatrist. By retrospectively reviewing the medical records of the request and the results of the subjects, We collected Socio-demographic information, medical severity (oxygen saturation, chest x-ray readings, medication being administered), clinical psychological scale (PHQ-9, GAD-7, PC-PTSD-5, AIS, P4, SF-36, SCL-90-R) This study evaluates whether there is a difference in psychological scale according to differences in socio-demographic status and medical severity, and compares psychological psychological measures before and after referral to mental health medicine to evaluate the effectiveness of psychiatric counseling.

COVID-19

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who have been confirmed as COVID-19 and admitted to the management ward, and consulted with a psychiatrist by a physician.

You may qualify if:

• Patient admitted to the COVID-19 management ward of Daegu Catholic University Hospital
• Patients who were consulted with a psychiatrist by a physician.

You may not qualify if:

• When the subject is accompanied by a serious physical or neurological condition
• In case of brain damage or concussion with loss of consciousness at the time of treatment
• When it is difficult to understand psychological intervention due to the apparent decrease in intelligence at the time of treatment
• When it is difficult to understand psychological intervention and follow examination instructions due to noticeable sensory damage such as hearing and vision at the time of treatment

Sponsors & Collaborators

• Daegu Catholic University Medical Center: lead

Related Publications (9)

• Folkman S, Greer S. Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each other. Psychooncology. 2000 Jan-Feb;9(1):11-9. doi: 10.1002/(sici)1099-1611(200001/02)9:13.0.co;2-z.

  PMID: 10668055 BACKGROUND

• Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, Wang Y, Hu J, Lai J, Ma X, Chen J, Guan L, Wang G, Ma H, Liu Z. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020 Mar;7(3):e14. doi: 10.1016/S2215-0366(20)30047-X. Epub 2020 Feb 5. No abstract available.

  PMID: 32035030 BACKGROUND

• Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018 Nov;87:123-127. doi: 10.1016/j.comppsych.2018.10.003. Epub 2018 Oct 13.

  PMID: 30343247 BACKGROUND

• Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, Sadavoy J, Verhaeghe LM, Steinberg R, Mazzulli T. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003 May 13;168(10):1245-51.

  PMID: 12743065 BACKGROUND

• Okusaga O, Yolken RH, Langenberg P, Lapidus M, Arling TA, Dickerson FB, Scrandis DA, Severance E, Cabassa JA, Balis T, Postolache TT. Association of seropositivity for influenza and coronaviruses with history of mood disorders and suicide attempts. J Affect Disord. 2011 Apr;130(1-2):220-5. doi: 10.1016/j.jad.2010.09.029. Epub 2010 Oct 27.

  PMID: 21030090 BACKGROUND

• Park SC, Park YC. Mental Health Care Measures in Response to the 2019 Novel Coronavirus Outbreak in Korea. Psychiatry Investig. 2020 Feb;17(2):85-86. doi: 10.30773/pi.2020.0058. Epub 2020 Feb 25. No abstract available.

  PMID: 32093458 BACKGROUND

• Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020 Mar;7(3):228-229. doi: 10.1016/S2215-0366(20)30046-8. Epub 2020 Feb 4. No abstract available.

  PMID: 32032543 BACKGROUND

• Xiao C. A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19)-Related Psychological and Mental Problems: Structured Letter Therapy. Psychiatry Investig. 2020 Feb;17(2):175-176. doi: 10.30773/pi.2020.0047. Epub 2020 Feb 25. No abstract available.

  PMID: 32093461 BACKGROUND

• Zhou X. Psychological crisis interventions in Sichuan Province during the 2019 novel coronavirus outbreak. Psychiatry Res. 2020 Apr;286:112895. doi: 10.1016/j.psychres.2020.112895. Epub 2020 Feb 26. No abstract available.

  PMID: 32120170 BACKGROUND

MeSH Terms

Conditions

COVID-19; Social Isolation

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Social Behavior; Behavior

Study Officials

• Jonghun Lee, M.D., ph.D.

  Daegu Catholic University Medical Center

  PRINCIPAL INVESTIGATOR

Central Study Contacts

geunhui Won, M.D.

CONTACT

+82-53-650-4780; guenheu@hanmail.net

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: M.D., Ph. D.

Study Record Dates

• First Submitted: May 8, 2020
• First Posted: May 20, 2020
• Study Start: May 28, 2020
• Primary Completion: December 31, 2020
• Study Completion: December 31, 2020
• Last Updated: May 27, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share