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Coronavirus (COVID-19)

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

JAMA Psychiatry

Published Online: February 18, 2021

Research Letter

Article Information and Disclosures

Delfina Janiri, MD¹;

Angelo Carfì, MD²;

Georgios D. Kotzalidis, MD, PhD¹;

Roberto Bernabei, MD²;

Francesco Landi, MD, PhD²;

Gabriele Sani, MD¹;

for the Gemelli Against COVID-19 Post-Acute Care Study Group

Author Affiliations

¹Department of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
²Department of Geriatrics, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

Gemelli Against COVID-19 Post-Acute Care Study Groupfor the

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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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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

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)30203-0 PubMed Google Scholar Crossref

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-x PubMed Google Scholar Crossref

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.64.12.1427 PubMed Google Scholar Crossref

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.2019.17550 PubMed Google Scholar

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/NEJMsa013404 PubMed Google Scholar Crossref

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.2020.12603 PubMed Google Scholar Crossref

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.