Provision of Medical-psychological and Psychiatric Care to Patients with Post-covid Syndrome in Telemedicine Conditions
Keywords:anxiety; catamnesis; depression; cognitive impairment;cognitive-behavioral therapy; medical psychology; mental disorders; post-covid syndrome; psychiatry; psycho-psychiatric care; psychodiagnostics; telemedicine; WHO recommendations
Objective. The need for scientific understanding of the revolutionary changes that have occurred associated with the situation of the COVID-19 pandemic, both in the organization of psychological and psychiatric care, and in the direction of developing effective treatment and prevention measures, determines the relevance of this study, the purpose of which is to study the clinical manifestations of psychopathological symptoms in patients, survivors of the COVID-19 disease, and develop a conceptual model for providing them with medical care in telemedicine.
Materials and methods. We studied the psychopathological manifestations of post-covid syndrome in 129 patients who had recovered from COVID-19 and who applied to us for remote medical counseling psychological and psychiatric help for 10 months, from March to December 2020, using clinical psychopathological and psychodiagnostic test research methods.
Results and Discussion. The high level of stress, anxiety and depression identified in the studied patients is primarily associated with the negative situation of the pandemic and the COVID-19 disease. A follow-up study proved the effectiveness of a treatment carried out in a telemedicine setting and combining cognitive-behavioral therapy with antidepressants and non-benzodiazepine tranquilizers. In patients who underwent a severe form of COVID-19, in the presence of premorbid chronic bronchopulmonary pathology, in addition to long-lasting psychopathological symptoms, somatic post-covid complications were also observed, and the stressfulness of the situation was perceived at a deeper personal level. For such patients, the course of treatment in telemedicine conditions should be extended and medical and psychological support provided during the entire period of convalescence.
Conclusion. Chronic premorbid diseases of the bronchopulmonary and immune systems are predictors of long-term psychopathological symptomatology and the occurrence of post-covid somatic complications. The treatment tactics of patients with post-covid mental health disorders in telemedicine should be based on the protocols of cognitive-behavioral therapy for hypochondriacal and generalized anxiety disorder, in combination with antidepressants and tranquilizers of the non-benzodiazepine series, which ensures the stability of the positive results of therapeutic interventions, confirmed by our studies. The conceptual patientcentered model developed by us for the provision of psychological and psychiatric care for post-covid syndrome in telemedicine can be recommended as a universal algorithm for psycho-psychiatric interventions when providing remote assistance to patients with post-covid mental disorders.
Bangladesh Journal of Medical Science Vol. 21 No. 04 October’22 Page : 719-730
How to Cite
Copyright (c) 2022 Nina V Koliadenko, Khrystyna S Zhyvago, Andrii I Bursa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:
- Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.
Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.