Psychiatry Investig.  2023 May;20(5):471-480. 10.30773/pi.2022.0295.

Impact of a Psychiatric Consultation Program on COVID-19 Patients: An Experimental Study

• Won GH
• Lee HJ
• Lee JH
• Choi TY
• Hong HL
• Jung CY

• KMID: 2542449
• DOI: http://doi.org/10.30773/pi.2022.0295

Abstract

Objective
Following the coronavirus disease-2019 (COVID-19) outbreak, the importance of addressing acute stress induced by psychological burdens of diseases became apparent. This study attempted to evaluate the effectiveness of a new mode of psychiatric intervention designed to target similar psychological crises.
Methods
Participants included 32 out of 114 COVID inpatients at a hospital in Daegu, Korea, who were assessed between March 30 and April 7, 2020. Multiple scales for screening psychological difficulties such as depressed mood, anxiety, insomnia, acute stress, and suicidality were done. Psychological problem evaluations and interventions were conducted in the form of consultations to alleviate participants’ psychological challenges via telepsychiatry. The interventions’ effects, as well as clinical improvements before and after the intervention, were analyzed.
Results
As a result of screening, 21 patients were experiencing psychological difficulties beyond clinical thresholds after COVID-19 infection (screening positive group). The remaining 11 were screening negative groups. The two groups differed significantly in past psychiatric histories (p=0.034), with the former having a higher number of diagnoses. The effect of the intervention was analyzed, and clinical improvement before and after the intervention was observed. Our intervention was found to be effective in reducing the overall emotional difficulties.
Conclusion
This study highlighted the usefulness of new interventions required in the context of healthcare following the COVID-19 pandemic.

Keyword

Pandemic; COVID-19; Psychological distress; Psychological intervention; Telemedicine