A comparative study of supportive group therapy and individual psychotherapy in admitted COVID-19 patients at a tertiary health-care center: The effective feasible double-blinded, randomized controlled trial

Miskin Tejaswini, V. Ramachandra, Deoraj Sinha, A. Mane
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Abstract

Background: Earlier pieces of evidence suggest that any pandemic has an impact on the mental health of general population, so is with COVID-19. The mental health of patients during such situations needs special attention and warrants proper care and support. We hypotheses that psychological interventions have an effective outcome in overcoming this. Methods: Consenting inpatient adults (n = 55) infected with COVID-19 were randomly allocated into two groups. The participants were assessed using a semi-structured sociodemographic detail, medical history pro forma, NEWS score, and Depression, Anxiety, and Stress Scale-21. In the 1st week of admission, group therapy (n = 26) and individual therapy (n = 29) sessions were delivered at an interval of 3–4 days. Results: On follow-up after a week, on comparing the groups, it was found that there was a significant difference in the mean ranks of depression and anxiety in COVID-19 patients who underwent group therapy and supportive individual therapy (P = 0.02, P = 0.03) versus (P = 0.001, P = 0.001), whereas the mean rank of stress in patients with group therapy (P = 0.33) revealed no significant difference compared to supportive individual therapy (P = 0.002). Conclusion: Our study found that group therapy was as effective as supportive individual therapy on the outcome measures of depression and anxiety in COVID-19 patients. However, in these difficult times, with shortage of health-care workers, this finding strengthens the benefits of group therapy for achieving psychological well-being in COVID-19 patients.
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三级医疗中心新冠肺炎住院患者支持性团体治疗和个体心理治疗的比较研究:有效可行的双盲随机对照试验
背景:早期的证据表明,任何大流行都会对普通人群的心理健康产生影响,新冠肺炎也是如此。在这种情况下,患者的心理健康需要特别关注,并需要适当的护理和支持。我们假设心理干预可以有效地克服这一问题。方法:将55例新冠肺炎住院患者随机分为两组。参与者使用半结构化的社会人口学细节、病史形式、NEWS评分和抑郁、焦虑和压力量表-21进行评估。入院第一周,分组治疗(n=26)和个体治疗(n=29),间隔3-4天。结果:在一周后的随访中,通过比较各组,发现接受团体治疗和支持性个体治疗的新冠肺炎患者的抑郁和焦虑的平均等级与接受支持性个体疗法的患者相比有显著差异(P=0.02,P=0.03),而团体治疗患者的平均压力等级(P=0.33)与支持性个体治疗(P=0.002)相比没有显著差异。结论:我们的研究发现,在新冠肺炎患者的抑郁和焦虑的结果测量方面,团体治疗与支持性个人治疗一样有效。然而,在医护人员短缺的困难时期,这一发现加强了集体治疗对新冠肺炎患者实现心理健康的益处。
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CiteScore
0.80
自引率
0.00%
发文量
15
审稿时长
27 weeks
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