COVID-19 Increases Risk of Psychiatric Diagnoses in the Months After Infection

Summary: Those infected with COVID-19 have a 25% increased risk of being diagnosed with a psychiatric disorder in the four months following contracting the disease. The association was higher for anxiety disorders.

Source: Oregon State University

A recent Oregon State University study found that COVID-19 patients had a roughly 25% increased risk of developing a psychiatric disorder in the four months following their infection, compared with people who had other types of respiratory tract infections.

The findings support previous research on psychiatric disorders among post-COVID patients, though the current study found a smaller effect than the earlier studies, said co-author Lauren Chan, a Ph.D. student in nutrition in OSU’s College of Public Health and Human Sciences.

For the current study, published in World Psychiatry, researchers used data from the National COVID Cohort Collaborative (N3C) to match 46,610 COVID-19 positive individuals with control patients who were diagnosed with a different respiratory tract infection so they could compare how COVID specifically affected patients’ mental health.

They looked at the rate of psychiatric diagnoses for two time periods: from 21 to 120 days after patients’ COVID diagnosis, and from 120 to 365 days after diagnosis, limited to patients with no previous mental illness.

Researchers found that COVID patients had a 3.8% rate of developing a psychiatric disorder compared with 3.0% for other respiratory tract infections. The 0.8% difference amounts to about a 25% increased relative risk.

They looked specifically at anxiety disorders and mood disorders and found a minor but significant increase in risk for anxiety disorders and no change in risk for mood disorders.

The large sample size and the fact that this data cohort draws from across the U.S. gave researchers a unique window into post-COVID side effects, Chan said.

The results speak to the need for both patients and health care providers to be more proactive when it comes to addressing mental health concerns following COVID infection, she said.

“For people that have had COVID, if you’re feeling anxiety, if you’re seeing some changes in how you’re going through life from a psychiatric standpoint, it’s totally appropriate for you to seek some help,” Chan said. “And if you’re a care provider, you need to be on the proactive side and start to screen for those psychiatric conditions and then follow up with those patients.”

When patients leave a doctor’s office, sometimes care stops there, but Chan recommended that providers consider calling in two weeks for a check-in.

This shows a woman in a face mask
Researchers found that COVID patients had a 3.8% rate of developing a psychiatric disorder compared with 3.0% for other respiratory tract infections. The 0.8% difference amounts to about a 25% increased relative risk. Image is in the public domain

“There could certainly be people who are struggling with new things like this, and they need that additional support or push to seek some help,” she said. “I don’t want to say that every single person who gets COVID is going to have this type of problem, but if you start to have concern for yourself or a family member, it’s not unheard of. You should definitely seek care for yourself or others around you.”

In the larger context of COVID and health care in the U.S., any increase in the amount of people seeking care, especially psychiatric care, will add further strain to a system that is already stretched to maximum capacity, Chan said.

“We already had struggles in trying to identify a professional to work with, and we’re going to keep having difficulties getting people the care they need,” she said. “If we do see this kind of increase in post-COVID psychiatric conditions, and people are recognizing them and trying to seek care, it poses some concern.”

The study’s lead author Ben Coleman from the Jackson Laboratory for Genomic Medicine is already working on a follow-up paper which seeks to assess the association between symptoms of long COVID and new-onset mental illness.

About this COVD-19 and mental health research news

Author: Molly Rosbach
Source: Oregon State University
Contact: Molly Rosbach – Oregon State University
Image: The image is in the public domain

Original Research: Open access.
Risk of new‐onset psychiatric sequelae of COVID‐19 in the early and late post‐acute phase” by Lauren Chan et al. World Psychiatry


Abstract

Risk of new‐onset psychiatric sequelae of COVID‐19 in the early and late post‐acute phase

Recent publications have documented that a proportion of COVID-19 patients develop psychiatric symptoms during or after acute infection.

We investigated this risk in the context of the National COVID Cohort Collaborative (N3C) – a centralized, harmonized, high-granularity electronic health record (EHR) repository – using the largest retrospective cohort reported to date.

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  1. I’m curious to see those who have psychiatric disorders such as bipolar schizoaffective disorder anxiety things like that if one of the symptoms of covid can actually just be something that exact dates they’re already irrational anxiety that they may already have or any kind of aggressiveness because I noticed I have schizoaffective disorder and I’m my partner has bipolar disorder and usually these are not too terribly bad easy to work with minimal issues despite the make up there but I noticed we both had covid at the same time and my reality was just really bad my ringing in the ears got worse cuz I already have that which made me wonder and if it does something with cortisol because naturally too much anxiety cortisol ringing in the ears from the cortisol in the hair he got significantly worse I was in a lot of panic for no reason which is pretty different from my normal anxiety normally have a lot of thoughts but it was just all of the physical symptoms of anxiety and his which is bipolar his was more just sudden aggression unexplainable or I guess maybe Mania is what he considers it in this was not normal for us it was it was as if our disorders had gotten significantly worse and more responsive for intrusive kind of thing I didn’t know if that would be something it’s pretty common for those that already had psychiatric disorders

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