Agreement for diagnosis of depression and anxiety between self‑assessment with e‑questionnaire and psychiatric telephone interview among post‑COVID‑19 patients
نویسندگان
1 Department of Psychiatry, Shahid Beheshti Hospital, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Psychiatry, Shahid Beheshti Hospital, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
3 Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran, Department of Psychiatry, Shahid Beheshti Hospital, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
4 Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
doi
چکیده
BACKGROUND: Psychological disorders, such as depression and anxiety, are common amongindividuals who have experienced coronavirus disease 2019 (COVID‑19); however, diagnosis maybe challenging and subjected to invalidity. This study aimed to examine agreement between onlineself‑assessment and psychiatric telephone interview among COVID‑19 survivors.MATERIALS AND METHODS: This cross‑sectional descriptive study was carried out from Marchto June 2021 in Afzalipour Hospital, Kerman, Iran. The inpatients confirmed with COVID‑19 werecontacted within the first week after discharge and were asked to fill the Hospital Anxiety andDepression scale (HADS) and socio‑demography questionnaire. They were later interviewed usingHamilton Depression Rating Scale (HAM‑D) and Hamilton Anxiety Rating Scale (HAM‑A). Agreementbetween the data extracted from self‑report and telephone interview was analyzed using Cohen’skappa coefficient, sensitivity, and specificity.RESULTS: Out of 200 post‑COVID patients, 60 participants completed all assessments. Prevalenceof depression was observed to be 88% via telephone interview and 45% via self‑assessment.Moreover, 83% of the participants were diagnosed with anxiety according to the telephone interview,in comparison to 31% diagnosed with anxiety using self‑report questionnaire. The agreement betweenonline self‑assessment and telephone interview for depression and anxiety was not significant(κ = 0.08 and κ = 0.1, respectively).CONCLUSION: The discordance between online self‑report and clinician’s assessment via phonecontact interview indicates that using self‑report evaluations is not sufficient as the single assessmenttool for mental health monitoring and reflects the need to employ multiple assessments for diagnosisof psychiatric problems in pandemics.
