Impact of chronic comorbidities on psychological and social status in COVID-19 patients

ObjectiveTo investigate the psychological and social status in patients with COVID-19 accompanied by common chronic diseases compared to patients without these chronic conditions. Additionally, the study aims to explore the relevant influencing factors, providing objective data and scientific theoretical basis for the psychological status of COVID-19 patients with common chronic diseases and improvement of their quality of life.MethodsSixty patients diagnosed with COVID-19 and admitted to the Department of Respiratory and Critical Care Medicine in Fujian Medical University Union Hospital, between January 1, 2023, and March 31, 2023, were enrolled. The Hospital Anxiety and Depression Scale (HADS), Medical Coping Modes Questionnaire (MCMQ), Social Support Rating Scale (SSRS), and Type D Personality Scale (Ds-14) were used for the investigation. Admission complete blood count, blood biochemistry, and C-reactive protein (CRP) data were collected to calculate the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and C-reactive protein-to-albumin ratio (CAR). The prevalence of anxiety and depression was compared between patients with COVID-19 accompanied by chronic diseases and those without, and coping styles, social support, Type D personality, and CAR were analyzed and compared between the two groups.ResultsAmong 60 COVID-19 patients, 46 had accompanying chronic diseases, 14 patients had no accompanying chronic diseases. Patients with chronic diseases had higher anxiety and depression scores than those without. Moreover, there were statistically significant differences between the two groups in MCMQ, SSRS, and CAR (p < 0.05). And we found that, among patients with COVID-19, Type D personality was associated with the co-occurrence of anxiety and depression, as well as with higher anxiety scores. and elevated CAR levels was associated with the co-occurrence of anxiety and depression.ConclusionThe presence of common chronic diseases significantly influenced the coping styles and social support profiles of COVID-19 patients. Different psychosocial factors were associated with the occurrence and severity scores of anxiety and depression in patients.