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Posttraumatic Stress Disorder in Patients After Severe COVID-19 Infection

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Posttraumatic stress disorder (PTSD) may occur in individuals who have experienced a traumatic event. Previous coronavirus epidemics were associated with PTSD diagnoses in postillness stages, with meta-analytic findings indicating a prevalence of 32.2% (95% CI, 23.7-42.0).1 However, information after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is piecemeal. We aimed at filling this gap by studying a group of patients with coronavirus disease 2019 (COVID-19) who sought treatment at the emergency department, most of whom required hospitalization, eventually recovered, and were subsequently referred to a postacute care service for multidisciplinary assessment.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: January 26, 2021.

Published Online: February 18, 2021. doi:10.1001/jamapsychiatry.2021.0109

Corresponding Author: Delfina Janiri, MD, Department of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, Italy (delfina.janiri@uniroma1.it).

Author Contributions: Dr Janiri had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Janiri, Carfì, Sani.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Janiri, Kotzalidis, Sani.

Critical revision of the manuscript for important intellectual content: Carfì, Kotzalidis, Bernabei, Landi, Sani.

Statistical analysis: Janiri, Sani.

Administrative, technical, or material support: Carfì.

Supervision: Kotzalidis, Bernabei, Landi, Sani.

Conflict of Interest Disclosures: Dr Sani reports personal fees from Janssen, Angelini Spa, and Lundbeck outside the submitted work. No other disclosures were reported.

Additional Contributions: We thank the Gemelli Against COVID-19 Post-Acute Care Study Group and the patients who contributed their time and effort to participate in this study.

Additional Information: The members of the Gemelli Against COVID-19 Post-Acute Care Study Group are listed in reference 2.

References
1.
Rogers  JP , Chesney  E , Oliver  D ,  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):611-627. doi:10.1016/S2215-0366(20)30203-0PubMedGoogle ScholarCrossref
2.
Landi  F , Gremese  E , Bernabei  R ,  et al; Gemelli Against COVID-19 Post-Acute Care Study Group.  Post-COVID-19 global health strategies: the need for an interdisciplinary approach.   Aging Clin Exp Res. 2020;32(8):1613-1620. doi:10.1007/s40520-020-01616-xPubMedGoogle ScholarCrossref
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Galea  S , Brewin  CR , Gruber  M ,  et al.  Exposure to hurricane-related stressors and mental illness after Hurricane Katrina.   Arch Gen Psychiatry. 2007;64(12):1427-1434. doi:10.1001/archpsyc.64.12.1427PubMedGoogle ScholarCrossref
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Li  X , Aida  J , Hikichi  H , Kondo  K , Kawachi  I .  Association of postdisaster depression and posttraumatic stress disorder with mortality among older disaster survivors of the 2011 Great East Japan Earthquake and Tsunami.   JAMA Netw Open. 2019;2(12):e1917550. doi:10.1001/jamanetworkopen.2019.17550PubMedGoogle Scholar
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Galea  S , Ahern  J , Resnick  H ,  et al.  Psychological sequelae of the September 11 terrorist attacks in New York City.   N Engl J Med. 2002;346(13):982-987. doi:10.1056/NEJMsa013404PubMedGoogle ScholarCrossref
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Carfì  A , Bernabei  R , Landi  F ; Gemelli Against COVID-19 Post-Acute Care Study Group.  Persistent symptoms in patients after acute COVID-19.   JAMA. 2020;324(6):603-605. doi:10.1001/jama.2020.12603PubMedGoogle ScholarCrossref
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