Öz
Amaç: Bu araştırmada, uyum bozukluğu değerlendirme ölçeğine göre (ADNM-20); Covid-19 enfeksiyonu nedeniyle takip edilmiş hastalarda uyum bozukluğu gelişimini değerlendirmek amaçlandı.
Yöntem: Kesitsel tipteki araştırma Eylül- Kasım 2020 tarihleri arasında gerçekleştirildi. Hastaneye başvuran 1290 kişiden 170 kişiye ulaşılması hedeflendi. Bu süreçte hastaneye başvuran hastalardan tabakalı basit rasgele örnekleme yöntemi ile katılımcılar seçildi. Covid-19 enfeksiyonu nedeniyle İstanbul’da bir üniversite hastanesinde takip edilmiş tedavi edilen 182 kişiye ulaşıldı. Covid-19 ile nedeniyle takip edilen hastalara; hastaneye yatıştan sonraki 6. ayın sonunda telefon/posta yoluyla sosyodemografik sorular ve Uyum Bozukluğu Yeni Modül-20 ölçeğinden oluşan bir anket uygulandı.
Bulgular: Katılımcıların % 28.8’inde (n=42) uyum bozukluğu saptandı. Covid-19 ilişkili strese bağlı uyum bozukluğu gelişen katılımcılar %26.7 (n=39) iken; Covid-19 dışı stres nedenli uyum bozukluğu gelişme oranı %2.1 (n=3) bulundu. Stres yükü artışıyla uyum bozukluğu gelişimi istatistiksel olarak anlamlı şekilde artıyordu. Artan strese maruz kalma süresi ile Covid-19 ilişkili strese bağlı uyum bozukluğu gelişme sıklığı istatistiksel olarak anlamlı olarak artmaktaydı.
Sonuç: Covid-19 nedeniyle sağlık hizmeti almak için hastaneye başvuran her dört kişiden birinde uyum bozukluğu gelişebilmektedir. Uyum bozukluğunun daha fazla sorgulanarak erken müdahalelerde bulunulması ilerleyici ruhsal bozuklukların önlenmesine katkıda bulunabilir.
Anahtar Kelimeler
Destekleyen Kurum
Yoktur
Teşekkür
Yoktur
Kaynakça
- Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr. 2020;87(4):281-286.
- Esterwood E, Saeed SA. Past epidemics, natural disasters, COVID19, and mental health: learning from history as we Deal with the present and prepare for the future. Psychiatr Q. 2020:1-13.
- Mathur S, Sharma D, Solanki RK, Goyal MK. Stress-related disorders in health-care workers in COVID-19 pandemic: A cross sectional study from India. Indian J. Medical Spe?c. 2020;11(4):180.
- DiGiovanni C, Conley J, Chiu D, Zaborski J. Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak. Biosecurity and bioterrorism: biodefense strategy, practice, and science. 2004;2(4):265-272.
- Dong M, Zheng J. Headline stress disorder caused by Netnews during the outbreak of COVID‐19. Health expectations: an international journal of public participation in health care and health policy. 2020;23(2):259.
- Rossi R, Socci V, Talevi D, et al. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in psychiatry. 2020;11:790.
- Lotzin A, Acquarini E, Ajdukovic D, et al. Stressors, coping and symptoms of adjustment disorder in the course of the COVID-19 pandemic–study protocol of the European Society for Traumatic Stress Studies (ESTSS) pan-European study. European journal of psychotraumatology. 2020;11(1):1780832.
- Cakiroglu S, Ertas E, Alyanak B. The COVID-19 pandemic and mental health as issues considered within the context of adjustment disorder and psychosocial interventions. Turk Psikiyatri Dergisi. 2020:148-150.
- Xie Q, Fan F, Fan X-P, et al. COVID-19 patients managed in psychiatric inpatient settings due to first-episode mental disorders in Wuhan, China: clinical characteristics, treatments, outcomes, and our experiences. Translational psychiatry. 2020;10(1):337.
- Sadock BJ, Sadock VA. Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/ clinical psychiatry: Lippincott williams & Wilkins; 2011.
- International Statistical Classification of Diseases and Related Health Problems (11th ed,; ICD-11): World Health Organization; 2018.
- Kazlauskas E, Quero S. Adjustment and coronavirus: How to prepare for COVID-19 pandemic-related adjustment disorder worldwide? Psychol Trauma. Aug 2020;12(S1):S22-s24.
- Zelviene P, Kazlauskas E, Maercker A. Risk factors of ICD-11 adjustment disorder in the Lithuanian general population exposed to life stressors. European Journal of Psychotraumatology. 2020;11(1):1708617.
- Bachem R, Perkonigg A, Stein DJ, Maercker A. Measuring the ICD-11 adjustment disorder concept: Validity and sensitivity to change of the Adjustment Disorder–New Module questionnaire in a clinical intervention study. International journal of methods in psychiatric research. 2017;26(4):e1545.
- Dragan M, Grajewski P, Shevlin M. Adjustment disorder, traumatic stress, depression and anxiety in Poland during an early phase of the COVID-19 pandemic. European Journal of Psychotraumatology. 2021;12(1):1860356.
- Lorenz L, Bachem R, Maercker A. The adjustment disorder–new module 20 as a screening instrument: Cluster analysis and cut-off values. The International Journal of Occupational and Environmental Medicine. 2016;7(4):215.
- Çalışması BDK. COVID-19 (SARS-CoV-2 Enfeksiyonu) Genel Bilgiler, Epidemiyoloji ve Tanı:: T.C. Sağlık Bakanlığı; 2020.
- Kaya B. Pandeminin ruh sağlığına etkileri. Klinik Psikiyatri Dergisi. 2020;23(2):123-124.
- Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet. 2020;395(10227):912-920.
- Asmundson GJ, Paluszek MM, Landry CA, Rachor GS, McKay D, Taylor S. Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping? Journal of anxiety disorders. 2020;74:102271.
- Perkonigg A, Lorenz L, Maercker A. Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study. Int J Clin Health Psychol. Sep-Dec 2018;18(3):209-217.
Öz
Objective: This study aimed to evaluate the development of adjustment disorder according to the ADNM-20 (Adjustment Disorder New Module-20) scale in participants who were followed up for Covid-19 infection.
Methods: A cross-sectional survey was conducted from September to November 2020. After sample size calculation, we aimed to reach minimum 170 people out of 1290 people who applied to the hospital for Covid-19 disease treatment. Participants were selected from the patients admitted to the hospital using a simple stratified random sampling method. We reached 182 people after treating the patients who were followed up with Covid-19 infection in a University Hospital in Istanbul, Turkey. A questionnaire and the Adjustment Disorder New Module-20 scale were applied via phone / mail at the end of the 6th month after Covid-19 related hospital admission by researchers.
Results: Adjustment disorder was found in 28.8 % (n=42) of the participants disorder according to the ADNM-20 scale. While the rate of development of adjustment disorder due to Covid-19-related stress was 26.7 % (n=39); the rate of development of adjustment disorder due to non-Covid-19 stress was found to be 2.1 % (n=3). With the increase in stress load, the development of adjustment disorder increased significantly. The frequency of developing Covid-19-related stress-related adjustment disorder was statistically significantly increased with the duration of exposure to stress.
Conclusion: We have found out that one out of every four people who apply to the hospital for healthcare services due to Covid-19 infection may develop an adjustment disorder. Assessment of the adjustment disorder more frequently and making early interventions may contribute to the prevention of progressive mental disorders.
Anahtar Kelimeler
Kaynakça
- Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr. 2020;87(4):281-286.
- Esterwood E, Saeed SA. Past epidemics, natural disasters, COVID19, and mental health: learning from history as we Deal with the present and prepare for the future. Psychiatr Q. 2020:1-13.
- Mathur S, Sharma D, Solanki RK, Goyal MK. Stress-related disorders in health-care workers in COVID-19 pandemic: A cross sectional study from India. Indian J. Medical Spe?c. 2020;11(4):180.
- DiGiovanni C, Conley J, Chiu D, Zaborski J. Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak. Biosecurity and bioterrorism: biodefense strategy, practice, and science. 2004;2(4):265-272.
- Dong M, Zheng J. Headline stress disorder caused by Netnews during the outbreak of COVID‐19. Health expectations: an international journal of public participation in health care and health policy. 2020;23(2):259.
- Rossi R, Socci V, Talevi D, et al. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in psychiatry. 2020;11:790.
- Lotzin A, Acquarini E, Ajdukovic D, et al. Stressors, coping and symptoms of adjustment disorder in the course of the COVID-19 pandemic–study protocol of the European Society for Traumatic Stress Studies (ESTSS) pan-European study. European journal of psychotraumatology. 2020;11(1):1780832.
- Cakiroglu S, Ertas E, Alyanak B. The COVID-19 pandemic and mental health as issues considered within the context of adjustment disorder and psychosocial interventions. Turk Psikiyatri Dergisi. 2020:148-150.
- Xie Q, Fan F, Fan X-P, et al. COVID-19 patients managed in psychiatric inpatient settings due to first-episode mental disorders in Wuhan, China: clinical characteristics, treatments, outcomes, and our experiences. Translational psychiatry. 2020;10(1):337.
- Sadock BJ, Sadock VA. Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/ clinical psychiatry: Lippincott williams & Wilkins; 2011.
- International Statistical Classification of Diseases and Related Health Problems (11th ed,; ICD-11): World Health Organization; 2018.
- Kazlauskas E, Quero S. Adjustment and coronavirus: How to prepare for COVID-19 pandemic-related adjustment disorder worldwide? Psychol Trauma. Aug 2020;12(S1):S22-s24.
- Zelviene P, Kazlauskas E, Maercker A. Risk factors of ICD-11 adjustment disorder in the Lithuanian general population exposed to life stressors. European Journal of Psychotraumatology. 2020;11(1):1708617.
- Bachem R, Perkonigg A, Stein DJ, Maercker A. Measuring the ICD-11 adjustment disorder concept: Validity and sensitivity to change of the Adjustment Disorder–New Module questionnaire in a clinical intervention study. International journal of methods in psychiatric research. 2017;26(4):e1545.
- Dragan M, Grajewski P, Shevlin M. Adjustment disorder, traumatic stress, depression and anxiety in Poland during an early phase of the COVID-19 pandemic. European Journal of Psychotraumatology. 2021;12(1):1860356.
- Lorenz L, Bachem R, Maercker A. The adjustment disorder–new module 20 as a screening instrument: Cluster analysis and cut-off values. The International Journal of Occupational and Environmental Medicine. 2016;7(4):215.
- Çalışması BDK. COVID-19 (SARS-CoV-2 Enfeksiyonu) Genel Bilgiler, Epidemiyoloji ve Tanı:: T.C. Sağlık Bakanlığı; 2020.
- Kaya B. Pandeminin ruh sağlığına etkileri. Klinik Psikiyatri Dergisi. 2020;23(2):123-124.
- Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet. 2020;395(10227):912-920.
- Asmundson GJ, Paluszek MM, Landry CA, Rachor GS, McKay D, Taylor S. Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping? Journal of anxiety disorders. 2020;74:102271.
- Perkonigg A, Lorenz L, Maercker A. Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study. Int J Clin Health Psychol. Sep-Dec 2018;18(3):209-217.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Nisan 2023 |
| Gönderilme Tarihi | 5 Nisan 2022 |
| Kabul Tarihi | 24 Mart 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 21 Sayı: 1 |
Kaynak Göster
TURKISH JOURNAL OF PUBLIC HEALTH - TURK J PUBLIC HEALTH. online-ISSN: 1304-1096
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