Risk factors for common mental disorders in hospitalized patients during the covid-19 pandemic
- VernacularTitle:Ковид-19 цар тахлын үед эмнэлэгт хэвтэн эмчлүүлэгчдийн түгээмэл тохиолдох сэтгэцийн эмгэгийн эрсдэлт хүчин зүйлийг судалсан дүн
- Author:
Enkhtuvshin R
1
;
Yerkyebulan M
2
;
Munkh-Uchral D
2
;
Enkhnaran T
3
;
Mongoljin A
4
;
Munkh E
4
;
Uranchimeg M
4
;
Maidar E
5
;
Amarsaikhan A
6
;
Amirlan B
7
;
Otgonbayar R
8
;
Nasantsengel L
1
;
Khishigsuren Z
1
Author Information
1. Department of Mental Health, School of Medicine, MNUMS
2. Department of Epidemiology and Biostatistics, School of Public Health, MNUMS
3. Department of clinical neuroscience, Brain and Mind Research Institute, MNUMS
4. National center for mental health
5. Chingeltei district health center
6. National Forensic Agency
7. International Cyber Education Center, Graduate School, MNUMS
8. MNUMS, SPH, Department of Child Health
- Publication Type:Journal Article
- Keywords:
Mental health, Depression, anxiety, Insomnia, Hospitalized patients, Mongolia
- From:
Mongolian Journal of Health Sciences
2025;90(6):32-38
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:The COVID-19 pandemic has profoundly impacted mental health, particularly exacerbating conditions
such as depression, anxiety, insomnia, post-traumatic stress disorder (PTSD), and emotional disorders among hospitalized
patients. This study examined the prevalence of COVID-19-related mental health issues and risk factors in hospitalized
patients affiliated with MNUMS, compared to a control group.
Aim:To assess the prevalence of mental health disorders such as depression, anxiety, insomnia, and post-traumatic stress
disorder (PTSD), and to identify their associated risk factors.
Materials and Methods:The study was conducted at hospitals under MNUMS, including the Mongolian-Japanese Hospital,
Central Hospital, and the National Center for Maternal and Child Health. A total of 552 participants (399 case
group, 153 control group) who were hospitalized were included. Depression (PHQ-9≥10), anxiety (GAD-7≥10), insomnia
(ISI≥15), and PTSD (PCL-5≥33) were assessed using standardized scales. Analysis was performed using chi-square tests
and binary logistic regression (crude odds ratio [cOR]/adjusted odds ratio [aOR], 95% confidence interval [CI]), adjusted
for group, age, and sex.
Results:In the case group, depression (23.1% vs. 13.7%, p=0.015, cOR=1.884 [1.124-3.156]), anxiety (16.8% vs. 11.1%,
p=0.096), and any mental disorder (18.0% vs. 13.7%, p=0.225) were higher, while insomnia was lower (19.5% vs. 30.1%,
p=0.008). PTSD was low overall (1.8% vs. 0.7%, p=0.333). Risk factors included female sex (p<0.001, cOR=0.362 for
depression in males), younger age (p=0.004), unemployment (p=0.017), and prior trauma (p<0.001). COVID-19 symptoms
(difficulty breathing) increased the risk of depression (p<0.001, cOR=2.828 [1.708-4.682]).
Conclusion:Hospitalization for COVID-19 increases the risk of depression and anxiety, modulated by demographic,
clinical, and socioeconomic factors. Targeted interventions for vulnerable groups are essential.
- Full text:2025121013194880815Ковид-19 цар тахлын үед эмнэлэгт хэвтэн эмчлүүлэгчдийн түгээмэл тохиолдох сэтгэцийн эмгэгийн эрсдэлт хүчин зүйлс.pdf