Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India

Introduction: Socioeconomic and related demographic characteristics may contribute to psychological distress following hospitalization with COVID-19. Financial strain experienced during the hospital stay may be associated with a heightened risk for posttraumatic stress disorder (PTSD). Material and...

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Main Authors: Amit Bhondve, Shruti Vijay Tilak, Nived G. Sudarson, Shermeen Rajesh More, Prashant Harish Saraf, Shreyansh Dinesh Singh, Eeshwari Vinay Lele, Ritu Mohit Shah, Kavya Amitabh Shah, Diya Padam Mehra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Community and Family Medicine
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Online Access:https://journals.lww.com/10.4103/ijcfm.ijcfm_49_24
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author Amit Bhondve
Shruti Vijay Tilak
Nived G. Sudarson
Shermeen Rajesh More
Prashant Harish Saraf
Shreyansh Dinesh Singh
Eeshwari Vinay Lele
Ritu Mohit Shah
Kavya Amitabh Shah
Diya Padam Mehra
author_facet Amit Bhondve
Shruti Vijay Tilak
Nived G. Sudarson
Shermeen Rajesh More
Prashant Harish Saraf
Shreyansh Dinesh Singh
Eeshwari Vinay Lele
Ritu Mohit Shah
Kavya Amitabh Shah
Diya Padam Mehra
author_sort Amit Bhondve
collection DOAJ
description Introduction: Socioeconomic and related demographic characteristics may contribute to psychological distress following hospitalization with COVID-19. Financial strain experienced during the hospital stay may be associated with a heightened risk for posttraumatic stress disorder (PTSD). Material and Methods: The present study aimed to assess the prevalence and socioeconomic correlates of PTSD among patients previously hospitalized with COVID-19 in a government hospital in Mumbai, India, through a cross-sectional, questionnaire-based study design. Patients were contacted through telephonic interviews 3 months following discharge. The questionnaire included demographic and socioeconomic details in relation with COVID-19 hospitalization and the PTSD Checklist for DSM-5 (PCL-5). Results: Only (6.7%) patients received a provisional diagnosis of PTSD, while 12/89 (13.5%) were classified as having subthreshold PTSD. 10/89 (11.2%) scored ≥31 on the PCL 5 and had probable PTSD. 10/89 (11.2%) scored ≥31 on the PCL-5. On bivariate analyses, being unmarried or divorced or separated (P = 0. 037), having children who were minors (P = 0. 002), traveling from outside the state for hospitalization (P < 0.001), borrowing (P = 0.002), or loss of income (P = 0.028) due to hospitalization were significantly associated with subthreshold PTSD. On multivariable analysis, borrowing (adjusted odds ratio [AOR] 9.45, 95% CI 1.08–82.72) and traveling from outside the state (AOR 35.75, 95% CI 1.46–875.45, P = 0.028) retained significance for subthreshold PTSD. Conclusion: Socioeconomic factors may contribute to PTSD burden in previously hospitalized COVID-19 patients. This points to a need for mental health screening and economic relief measures in financially vulnerable patients.
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spelling doaj-art-9330730fb4d54d6ab1e42ace6be4976a2025-01-07T05:57:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132666-31202024-12-0110212913410.4103/ijcfm.ijcfm_49_24Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, IndiaAmit BhondveShruti Vijay TilakNived G. SudarsonShermeen Rajesh MorePrashant Harish SarafShreyansh Dinesh SinghEeshwari Vinay LeleRitu Mohit ShahKavya Amitabh ShahDiya Padam MehraIntroduction: Socioeconomic and related demographic characteristics may contribute to psychological distress following hospitalization with COVID-19. Financial strain experienced during the hospital stay may be associated with a heightened risk for posttraumatic stress disorder (PTSD). Material and Methods: The present study aimed to assess the prevalence and socioeconomic correlates of PTSD among patients previously hospitalized with COVID-19 in a government hospital in Mumbai, India, through a cross-sectional, questionnaire-based study design. Patients were contacted through telephonic interviews 3 months following discharge. The questionnaire included demographic and socioeconomic details in relation with COVID-19 hospitalization and the PTSD Checklist for DSM-5 (PCL-5). Results: Only (6.7%) patients received a provisional diagnosis of PTSD, while 12/89 (13.5%) were classified as having subthreshold PTSD. 10/89 (11.2%) scored ≥31 on the PCL 5 and had probable PTSD. 10/89 (11.2%) scored ≥31 on the PCL-5. On bivariate analyses, being unmarried or divorced or separated (P = 0. 037), having children who were minors (P = 0. 002), traveling from outside the state for hospitalization (P < 0.001), borrowing (P = 0.002), or loss of income (P = 0.028) due to hospitalization were significantly associated with subthreshold PTSD. On multivariable analysis, borrowing (adjusted odds ratio [AOR] 9.45, 95% CI 1.08–82.72) and traveling from outside the state (AOR 35.75, 95% CI 1.46–875.45, P = 0.028) retained significance for subthreshold PTSD. Conclusion: Socioeconomic factors may contribute to PTSD burden in previously hospitalized COVID-19 patients. This points to a need for mental health screening and economic relief measures in financially vulnerable patients.https://journals.lww.com/10.4103/ijcfm.ijcfm_49_24covid-19hospitalizationposttraumatic stress disordersocioeconomic factors
spellingShingle Amit Bhondve
Shruti Vijay Tilak
Nived G. Sudarson
Shermeen Rajesh More
Prashant Harish Saraf
Shreyansh Dinesh Singh
Eeshwari Vinay Lele
Ritu Mohit Shah
Kavya Amitabh Shah
Diya Padam Mehra
Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India
Indian Journal of Community and Family Medicine
covid-19
hospitalization
posttraumatic stress disorder
socioeconomic factors
title Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India
title_full Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India
title_fullStr Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India
title_full_unstemmed Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India
title_short Borrowing, loss of income and related sociodemographic factors in post-traumatic stress disorder in COVID-19 patients: A cross-sectional study from a government hospital in Mumbai, India
title_sort borrowing loss of income and related sociodemographic factors in post traumatic stress disorder in covid 19 patients a cross sectional study from a government hospital in mumbai india
topic covid-19
hospitalization
posttraumatic stress disorder
socioeconomic factors
url https://journals.lww.com/10.4103/ijcfm.ijcfm_49_24
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