COVID-19 effect on mental health and sleep disorders

Samushiya M.A.; Kryzhanovskiy S.M.; Ragimova A.A.; Berishvili T.Z.; Chorbinskaya S.A.; Ivannikova E.I.

doi:https://doi.org/10.17116/jnevro202112104249

Samushiya M.A.

Central State Medical Academy of Department of Presidential Affairs

ORCID: 0000-0003-3681-9977

Kryzhanovskiy S.M.

Central State Medical Academy of Department of Presidential Affairs

ORCID: 0000-0003-4010-4288

Ragimova A.A.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Berishvili T.Z.

Central State Medical Academy of Department of Presidential Affairs

Chorbinskaya S.A.

Central State Medical Academy of Department of Presidential Affairs

ORCID: 0000-0001-8471-629X

Ivannikova E.I.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

COVID-19 effect on mental health and sleep disorders

Authors:

Samushiya M.A., Kryzhanovskiy S.M., Ragimova A.A., Berishvili T.Z., Chorbinskaya S.A., Ivannikova E.I.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(4‑2): 49‑54

DOI: 10.17116/jnevro202112104249

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To cite this article:

Samushiya MA, Kryzhanovskiy SM, Ragimova AA, Berishvili TZ, Chorbinskaya SA, Ivannikova EI. COVID-19 effect on mental health and sleep disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(4‑2):49‑54. (In Russ.)
https://doi.org/10.17116/jnevro202112104249

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

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PURPOSE OF THE STUDY

To study the prevalence of anxiety-depressive disorders and sleep disorders in their structure among patients hospitalized in connection with COVID-19, as well as to develop differentiated recommendations for their therapy in patients with new coronavirus infection.

MATERIAL AND METHODS

In this publication, the authors present preliminary results of their own observations of psychoemotional disorders and sleep disorders in their structure in patients with a new coronavirus infection. We analyzed the data of 119 patients (aged 47 to 69 years, male and female), conducted a detailed interview, including using telemedicine technologies, and assessed the scales: The hospital Anxiety and Depression Scale (HADS), subjective the asthenia rating scale (MFI-20, Multidimensional Fatigue Inventory) and the Pittsburgh Sleep Quality Index (PSQI) questionnaire.

RESULTS

According to the results of the HADS questionnaire, clinically pronounced anxiety-depressive symptoms were observed in 33 (28%) patients of 119 hospitalized in connection with the diagnosis of COVID-19. Of them, only clinically significant anxiety was recorded in 11% of cases (n=13), in 5 (4%) patients — clinically significant depression, an increase in both subscales of anxiety and depression — in 13% (n=15). An increase in the MFI-20 scale (more than 20 points) was found in 87 (73%) patients, sleep disorders in accordance with the PSQI questionnaire was recorded in 32 (27%) patients.

CONCLUSION

According to the results of the study, it was noted that in most patients with COVID-19, along with a depressive symptom complex, anxiety and hypochondriacal disorders, an asthenic symptom complex, sleep disturbances with difficulty falling asleep, and dissatisfaction with the quality of sleep are recorded. Differentiated recommendations for the treatment of the studied conditions have been developed, taking into account the side effects of the prescribed drugs, drug interactions and the characteristics of the somatic status of patients. The choice of the drug should be based on the severity of the violations identified.

Keywords:

pandemic

COVID-19

anxiety-phobic disorders

depression

asthenic syndrome

sleep disorders

Authors:

Samushiya M.A.

Central State Medical Academy of Department of Presidential Affairs

ORCID: 0000-0003-3681-9977

Kryzhanovskiy S.M.

Central State Medical Academy of Department of Presidential Affairs

ORCID: 0000-0003-4010-4288

Ragimova A.A.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Berishvili T.Z.

Central State Medical Academy of Department of Presidential Affairs

Chorbinskaya S.A.

Central State Medical Academy of Department of Presidential Affairs

ORCID: 0000-0001-8471-629X

Ivannikova E.I.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Received:

03.03.2021

Accepted:

27.04.2021

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