Investigating the Long-Term Physical Consequences of COVID-19 and Mental Health in COVID-19 Survivors in Kosar Hospital in Semnan: A Cross-Sectional Study

Azin Peyvandi; Nasir Amanat; Hossein Davari; Mohammad Reza Asgari; Kamran Ghods; Majid Mirmohammadkhani; Mohammad Sayadjou; Amir Abbas Saedi; Hamed Khosravi

doi:10.5812/koomesh-150164

Koomesh

Journal of Semnan University of Medical Sciences

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https://doi.org/10.69107/koomesh-150164

Investigating the Long-Term Physical Consequences of COVID-19 and Mental Health in COVID-19 Survivors in Kosar Hospital in Semnan: A Cross-Sectional Study

Author(s):

Azin Peyvandi¹,

Nasir Amanat

²,

Hossein Davari²,

Mohammad Reza Asgari²,

Kamran Ghods

³,

Majid Mirmohammadkhani

⁴,

Mohammad Sayadjou¹,

Amir Abbas Saedi⁵,

Hamed Khosravi

^2,*

1Student Research Committee, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran

2Nursing Care Research Center, Nursing and Midwifery Faculty, Semnan University of Medical Sciences, Semnan, Iran

3Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran

4Department of Epidemiology and Biostatistics, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran

5Student Research Committee of Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran

Koomesh:Vol. 26, issue 4; e150164

Published online:Jan 19, 2025

Article type:Research Article

How to Cite:Peyvandi A, Amanat N, Davari H, Asgari M R, Ghods K, et al. Investigating the Long-Term Physical Consequences of COVID-19 and Mental Health in COVID-19 Survivors in Kosar Hospital in Semnan: A Cross-Sectional Study.koomesh.2025;26(4):e150164.https://doi.org/10.69107/koomesh-150164.

Abstract

Introduction:

After recovering from an acute infection with COVID-19, many patients experience various physical and psychological symptoms in different body systems for a long time. The current study aimed to identify these symptoms as the first step in building a system for classifying long-term symptoms after recovery from COVID-19.

Materials and Methods:

This cross-sectional study was conducted between March 1401 and August 1402 at Kosar Hospital in Semnan. Data related to physical symptoms after recovery were collected through phone calls to those who had recovered from COVID-19 using a questionnaire that included 20 common symptoms. Data related to mental health after recovery were collected using a general health questionnaire.

Results:

A total of 375 patients with COVID-19 hospitalized at Kosar Hospital participated in the study, of which 53% were women and 47% were men. The most common symptoms include fatigue (62.1%), muscle pain (42.1%), dizziness (34.3%), and shortness of breath (33.9%). The average mental health score of the participants in this study was 14.56 ± 6.20.

Conclusion:

The existence of long-term symptoms after recovery from COVID-19 indicates the follow-up of the patient. The authors propose a classification system as a starting point for identifying and tracking long-term symptoms after recovery and recommend larger-scale studies to expand the definition of recovery from COVID-19.

Keywords

COVID-19

Mental Health

Survivors

References

1.
Mathieu E, Ritchie H, Rodés-Guirao L, Appel C, Giattino C, Hasell J, et al. Coronavirus pandemic (COVID-19). J Our world in data. 2020.
2.
Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924. [PubMed ID:32081636]. [PubMed Central ID:PMC7127800]. https://doi.org/10.1016/j.ijantimicag.2020.105924.
3.
Gandhi RT, Lynch JB, Del Rio C. Mild or Moderate Covid-19. N Engl J Med. 2020;383(18):1757-66. [PubMed ID:32329974]. https://doi.org/10.1056/NEJMcp2009249.
4.
Wu D, Wu T, Liu Q, Yang Z. The SARS-CoV-2 outbreak: What we know. Int J Infect Dis. 2020;94:44-8. [PubMed ID:32171952]. [PubMed Central ID:PMC7102543]. https://doi.org/10.1016/j.ijid.2020.03.004.
5.
Ebrahimi Tavani M, Gheinali Z, Haghi M, Gharibi F. [Investigating the related factors with the severity of COVID-19 in hospitalized patients: A cross-sectional study in Semnan, Iran]. J Koomesh. 2023;25(2):229-39. Persian.
6.
Arab S, Ebrahimi Z, Izadi A, Madanchi H, Yarmohammadi M, Darban M, et al. [Relationship between the history of kidney disease, clinical findings, hospitalization duration, and mortality in COVID-19 patients]. J Koomesh. 2022;24:102-8. Persian.
7.
Khosravi H, Sayadi L, Mohammadnejad E. [Relationship between mental health and quality of life among the COVID-19 survivors one year after the infection: a cross-sectional study]. J Hayat. 2023;28(4). Persian.
8.
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-9. [PubMed ID:32032543]. [PubMed Central ID:PMC7128153]. https://doi.org/10.1016/S2215-0366(20)30046-8.
9.
Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547-60. [PubMed ID:32304649]. [PubMed Central ID:PMC7159850]. https://doi.org/10.1016/S2215-0366(20)30168-1.
10.
Lopez-Leon S, Wegman-Ostrosky T, Perelman C, Sepulveda R, Rebolledo PA, Cuapio A, et al. More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Sci Rep. 2021;11(1):16144. [PubMed ID:34373540]. [PubMed Central ID:PMC8352980 study design, data collection, and analysis, the decision to publish, or preparation of the manuscript. S.L.L. is an employee of Novartis Pharmaceutical Company; the statements presented in the paper do not necessarily represent the position of the company. The remaining authors have no competing interests to declare.]. https://doi.org/10.1038/s41598-021-95565-8.
11.
Hui DS, Joynt GM, Wong KT, Gomersall CD, Li TS, Antonio G, et al. Impact of severe acute respiratory syndrome (SARS) on pulmonary function, functional capacity and quality of life in a cohort of survivors. Thorax. 2005;60(5):401-9. [PubMed ID:15860716]. [PubMed Central ID:PMC1758905]. https://doi.org/10.1136/thx.2004.030205.
12.
Batawi S, Tarazan N, Al-Raddadi R, Al Qasim E, Sindi A, Al Johni S, et al. Quality of life reported by survivors after hospitalization for Middle East respiratory syndrome (MERS). Health Qual Life Outcomes. 2019;17(1):101. [PubMed ID:31186042]. [PubMed Central ID:PMC6560892]. https://doi.org/10.1186/s12955-019-1165-2.
13.
Mak IW, Chu CM, Pan PC, Yiu MG, Chan VL. Long-term psychiatric morbidities among SARS survivors. Gen Hosp Psychiatry. 2009;31(4):318-26. [PubMed ID:19555791]. [PubMed Central ID:PMC7112501]. https://doi.org/10.1016/j.genhosppsych.2009.03.001.
14.
Rubin R. As Their Numbers Grow, COVID-19 "Long Haulers" Stump Experts. JAMA. 2020;324(14):1381-3. [PubMed ID:32965460]. https://doi.org/10.1001/jama.2020.17709.
15.
Tenforde MW, Kim SS, Lindsell CJ, Billig Rose E, Shapiro NI, Files DC, et al. Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network - United States, March-June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(30):993-8. [PubMed ID:32730238]. [PubMed Central ID:PMC7392393]. https://doi.org/10.15585/mmwr.mm6930e1.
16.
Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2023;401(10393):e21-e33. [PubMed ID:37321233]. [PubMed Central ID:PMC10258565]. https://doi.org/10.1016/S0140-6736(23)00810-3.
17.
Kondratiuk AL, Pillay TD, Kon OM, Lalvani A. A conceptual framework to accelerate the clinical impact of evolving research into long COVID. Lancet Infect Dis. 2021;21(6):756-7. [PubMed ID:33894903]. [PubMed Central ID:PMC8062085]. https://doi.org/10.1016/S1473-3099(21)00136-5.
18.
Allam HH, Kinsara AJ, Alrajawi AAA, Tuiama T. Concomitant acute aortic thrombosis and pulmonary embolism complicating COVID-19 pneumonia. J Heart Mind. 2020;4(4):123-5.
19.
Zeng N, Zhao YM, Yan W, Li C, Lu QD, Liu L, et al. A systematic review and meta-analysis of long term physical and mental sequelae of COVID-19 pandemic: call for research priority and action. Mol Psychiatry. 2023;28(1):423-33. [PubMed ID:35668159]. [PubMed Central ID:PMC9168643]. https://doi.org/10.1038/s41380-022-01614-7.
20.
Deng J, Zhou F, Hou W, Silver Z, Wong CY, Chang O, et al. The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients: a meta-analysis. Ann N Y Acad Sci. 2021;1486(1):90-111. [PubMed ID:33009668]. [PubMed Central ID:PMC7675607]. https://doi.org/10.1111/nyas.14506.
21.
Wang Y, Zhu LY, Ma YF, Bo HX, Deng HB, Cao J, et al. Association of insomnia disorder with sociodemographic factors and poor mental health in COVID-19 inpatients in China. Sleep Med. 2020;75:282-6. [PubMed ID:32919351]. [PubMed Central ID:PMC7837174]. https://doi.org/10.1016/j.sleep.2020.06.011.
22.
Lee SH, Shin HS, Park HY, Kim JL, Lee JJ, Lee H, et al. Depression as a Mediator of Chronic Fatigue and Post-Traumatic Stress Symptoms in Middle East Respiratory Syndrome Survivors. Psychiatry Investig. 2019;16(1):59-64. [PubMed ID:30605995]. [PubMed Central ID:PMC6354037]. https://doi.org/10.30773/pi.2018.10.22.3.
23.
Fan E, Dowdy DW, Colantuoni E, Mendez-Tellez PA, Sevransky JE, Shanholtz C, et al. Physical complications in acute lung injury survivors: a two-year longitudinal prospective study. Crit Care Med. 2014;42(4):849-59. [PubMed ID:24247473]. [PubMed Central ID:PMC3959239]. https://doi.org/10.1097/CCM.0000000000000040.
24.
Mitrani RD, Dabas N, Goldberger JJ. COVID-19 cardiac injury: Implications for long-term surveillance and outcomes in survivors. Heart Rhythm. 2020;17(11):1984-90. [PubMed ID:32599178]. [PubMed Central ID:PMC7319645]. https://doi.org/10.1016/j.hrthm.2020.06.026.
25.
Chary E, Carsuzaa F, Trijolet JP, Capitaine AL, Roncato-Saberan M, Fouet K, et al. Prevalence and Recovery From Olfactory and Gustatory Dysfunctions in Covid-19 Infection: A Prospective Multicenter Study. Am J Rhinol Allergy. 2020;34(5):686-93. [PubMed ID:32527141]. [PubMed Central ID:PMC7418272]. https://doi.org/10.1177/1945892420930954.
26.
Bodansky D, Oskrochi Y, Judah G, Lewis M, Fischer B, Narayan B. Change the habit to change the practice: Do audits really ever change anything? Injury. 2017;48(9):1999-2002. [PubMed ID:28442206]. https://doi.org/10.1016/j.injury.2017.04.036.
27.
Riany YE, Morawska A. Financial and Work Burden, Psychosocial Functioning, and Family Interactions During the COVID-19 Pandemic in Indonesia: Effects on Child Outcomes. Child Psychiatry Hum Dev. 2023;54(2):340-51. [PubMed ID:34542778]. [PubMed Central ID:PMC8450696]. https://doi.org/10.1007/s10578-021-01251-1.
28.
World Health Organization. Health-and-well-being. 2024 Available from: https://www.who.int/data/gho/data/major-themes/health-and-well-being.
29.
Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970;1(5707):439-43. [PubMed ID:5420206]. [PubMed Central ID:PMC1700485]. https://doi.org/10.1136/bmj.2.5707.439.
30.
Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. J Health Quality Life Outcomes. 2003;1(66):1-4. https://doi.org/10.1186/1477-7525-1-19.
31.
Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, et al. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. PLoS One. 2020;15(11):e0240784. [PubMed ID:33166287]. [PubMed Central ID:PMC7652254]. https://doi.org/10.1371/journal.pone.0240784.
32.
Baldini T, Asioli GM, Romoli M, Carvalho Dias M, Schulte EC, Hauer L, et al. Cerebral venous thrombosis and severe acute respiratory syndrome coronavirus-2 infection: A systematic review and meta-analysis. Eur J Neurol. 2021;28(10):3478-90. [PubMed ID:33426733]. [PubMed Central ID:PMC8014715]. https://doi.org/10.1111/ene.14727.
33.
Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry. 2020;7(7):611-27. [PubMed ID:32437679]. [PubMed Central ID:PMC7234781]. https://doi.org/10.1016/S2215-0366(20)30203-0.
34.
Bacaro V, Chiabudini M, Buonanno C, De Bartolo P, Riemann D, Mancini F, et al. Insomnia in the Italian Population During Covid-19 Outbreak: A Snapshot on One Major Risk Factor for Depression and Anxiety. Front Psychiatry. 2020;11:579107. [PubMed ID:33384625]. [PubMed Central ID:PMC7769843]. https://doi.org/10.3389/fpsyt.2020.579107.
35.
Mieczkowska K, Deutsch A, Borok J, Guzman AK, Fruchter R, Patel P, et al. Telogen effluvium: a sequela of COVID-19. Int J Dermatol. 2021;60(1):122-4. [PubMed ID:33226117]. [PubMed Central ID:PMC7753411]. https://doi.org/10.1111/ijd.15313.
36.
Zhao YM, Shang YM, Song WB, Li QQ, Xie H, Xu QF, et al. Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery. EClinicalMedicine. 2020;25:100463. [PubMed ID:32838236]. [PubMed Central ID:PMC7361108]. https://doi.org/10.1016/j.eclinm.2020.100463.
37.
Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry. 2007;52(4):233-40. [PubMed ID:17500304]. https://doi.org/10.1177/070674370705200405.
38.
Park HY, Park WB, Lee SH, Kim JL, Lee JJ, Lee H, et al. Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East respiratory syndrome in South Korea. BMC Public Health. 2020;20(1):605. [PubMed ID:32410603]. [PubMed Central ID:PMC7224724]. https://doi.org/10.1186/s12889-020-08726-1.
39.
Vayner Y, Lessen S, Shah R, Congdon S, Gong M, Hope A. Residual symptom burden in adult COVID-19 survivors at one, three, and six months after COVID-19 illness. TP92. TP092 CLINICAL ADVANCES IN SARS-COV-2 AND COVID-19: American Thoracic Society; 2021. p. A3851-A.

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Author(s):

Azin Peyvandi:[PubMed][Scholar]
Nasir Amanat:[PubMed][Scholar]
Hossein Davari:[PubMed][Scholar]
Mohammad Reza Asgari:[PubMed][Scholar]
Kamran Ghods:[PubMed][Scholar]
Majid Mirmohammadkhani:[PubMed][Scholar]
Mohammad Sayadjou:[PubMed][Scholar]
Amir Abbas Saedi:[PubMed][Scholar]
Hamed Khosravi:[PubMed][Scholar]