Stress, anxiety, depression, and clinical severity in COVID-19 patients in a temporary isolation center. Lima-Peru

Abstract

Objective: To determine the relationship of stress, anxiety, and depression with clinical severity in patients with COVID-19 from the COVID-19 temporary isolation and care center in Villa Panamericana. Material and Methods: Observational, longitudinal study in patients who were admitted with a diagnosis of COVID-19 to the COVID-19 Villa Panamericana temporary isolation and care center. Sociodemographic data and psychiatric history were collected, and the DASS-21 scale validated for the Peruvian population with Cronbach’s alpha> 0.80 was applied. For clinical evaluation, the qSOFA scale was used upon admission, on the third and seventh day of hospitalization, and was categorized into high and low risk. Descriptive statistics were applied. Results: Depression was the most common psychiatric history, followed by stress, depression, anxiety, and panic. 51.4% of patients had stress, 63.6% showed some level of anxiety and 44.6% had depression. It was found that 1.4% of patients with stress had alterations in the qSOFA indicators on the third day. Some patients with anxiety and depression also had high risk. On day seven, only one patient with stress, anxiety, or depression had high risk and SAT O2 levels between 90 and 93%. Conclusions: Stress, anxiety, or depression in patients with COVID-19 was not statistically associated with high qSOFA risk and desaturation.