A Cross-Sectional Study Exploring Mental Health among Patients Suffering from Dengue in Pakistani Tertiary Care Hospitals

IF 9 Q1 PSYCHIATRY
None Faiza, Fatima Jawad, Namra Chaudhary, Mahnoor Younas, Sadaf Fatima, Fiza Ayub, Allah Bukhsh Awan, Tahir Mehmood Khan
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Abstract

Background. Dengue, known as “Tropical flu,” is a widespread disease that has recently become endemic in many Asian countries. Dengue disease still lacks research in many aspects, specifically the impact of patient factors and disease prognosis on mental health. This is a cross-sectional study that evaluated the impact of different patient factors on depression, stress, and anxiety in patients with acute dengue infection. Methods. An interview-based data were collected through a questionnaire containing patient sociodemographic parameters, clinical parameters, and DASS 21 questions. Independent sample T -test, one-way ANOVA test, and post hoc test were performed to determine the degree of association of psychological manifestations with clinical signs and symptoms considering a level of significance of p < 0.05 . Results. The patients from 39 years to 49 years of age had a higher association with stress, depression, and anxiety. The participants at primary and matriculation level education had a higher association with dengue-associated anxiety. Among the three levels of fever, i.e., mild (<102°F), moderate (102-103°F), and severe (>103°F), the participants suffering from severe fever experienced more anxiety and so was those with intense pain and stress. Conclusions. According to the DASS-21 tool, patients with severe pain and high-degree fever during dengue had significant stress and anxiety symptoms, respectively, than the patients with mild or moderate pain and fever. Middle-aged patients with low literacy levels were also found to have significant associations with stress, anxiety, and depression. To our knowledge, this is one of the first studies in Pakistan that in-depth explored the impact of patient factors’ variability on psychological illnesses related to dengue. These findings may warrant practitioners to integrate timely psychological screening and care for dengue patients.
一项探讨巴基斯坦三级医院登革热患者心理健康的横断面研究
背景。登革热,被称为“热带流感”,是一种广泛传播的疾病,最近在许多亚洲国家成为地方病。登革热在许多方面仍缺乏研究,特别是患者因素和疾病预后对心理健康的影响。这是一项横断面研究,评估不同患者因素对急性登革热感染患者抑郁、压力和焦虑的影响。方法。通过包含患者社会人口学参数、临床参数和DASS 21问题的问卷调查收集基于访谈的数据。采用独立样本T检验、单因素方差分析检验和事后检验来确定心理表现与临床体征和症状的关联程度,并考虑p <的显著性水平;0.05。结果。39岁至49岁的患者与压力、抑郁和焦虑有较高的相关性。小学和预科水平教育的参与者与登革热相关焦虑有较高的相关性。在轻度(102华氏度)、中度(102-103华氏度)和重度(103华氏度)发烧的三个级别中,重度发烧的参与者经历了更多的焦虑,剧烈疼痛和压力的参与者也是如此。结论。根据DASS-21工具,登革热期间严重疼痛和高热患者分别比轻度或中度疼痛和发烧患者有显著的应激和焦虑症状。文化水平低的中年患者也被发现与压力、焦虑和抑郁有显著的关联。据我们所知,这是巴基斯坦首次深入探讨患者因素可变性对登革热相关心理疾病影响的研究之一。这些发现可能会使从业人员对登革热患者进行及时的心理筛查和护理。
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来源期刊
Mental Illness
Mental Illness PSYCHIATRY-
CiteScore
1.10
自引率
0.00%
发文量
3
审稿时长
10 weeks
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