Psychiatric disorders newly diagnosed among veterans subsequent to hospitalization for COVID-19

Jason I. Chen; Alex Hickok; Allison C. O'Neill; Meike Niederhausen; Avery Z. Laliberte; Diana J. Govier; Samuel T. Edwards; Howard S. Gordon; Christopher G. Slatore; Francis M. Weaver; Rebecca Young; Denise M. Hynes

doi:10.1016/j.psychres.2022.114570

Psychiatric disorders newly diagnosed among veterans subsequent to hospitalization for COVID-19

Jason I. Chen
, Alex Hickok
, Allison C. O'Neill
, Meike Niederhausen
, Avery Z. Laliberte
, Diana J. Govier
, Samuel T. Edwards
, Howard S. Gordon
, Christopher G. Slatore
, Francis M. Weaver
, Rebecca Young
, Denise M. Hynes

Pulmonary and Critical Care Medicine

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Objective: The goal of our study was to evaluate the development of new mental health diagnoses up to 6-months following COVID-19 hospitalization for in a large, national sample. Method: Data were extracted for all Veterans hospitalized at Veterans Health Administration hospitals for COVID-19 from March through August of 2020 utilizing national administrative data. After identifying the cohort, follow-up data were linked through six months post-hospitalization. Data were analyzed using logistic regression. Results: Eight percent of patients developed a new mental health diagnosis following hospitalization. The most common new mental health diagnoses involved depressive, anxiety, and adjustment disorders. Younger and rural patients were more likely to develop new mental health diagnoses. Women and those with more comorbidities were less likely to develop new diagnoses. Conclusion: A subpopulation of patients hospitalized for COVID-19 developed new mental health diagnoses. Unique demographics predictors indicate the potential need for additional outreach and screening to groups at elevated risk of post-hospitalization, mental health sequelae.

Original language	English (US)
Article number	114570
Journal	Psychiatry Research
Volume	312
DOIs	https://doi.org/10.1016/j.psychres.2022.114570
State	Published - Jun 1 2022

Funding

This work was supported by funding from the US Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Service awards (COVID19–20–208; SDR17–155 and SDR18–321; PI: Hynes). Dr. Chen is currently funded by a VA Health Services Research & Development Career Development Award (CDA 18–185). Dr. Govier was funded by a VA Advanced Fellowship in Health Services Research & Development (TPH 98–000–02) through the VA Office of Academic Affiliations. We appreciate the guidance of colleagues who served on our COVID-19 Sequelae Clinical Epidemiology Advisory Committee including Mary Whooley, MD, FACP, FAHA, FACC, FAMIA, Michael Matheny, MD, MS, MPH, Karen Saban, PhD, RN, APRN, CNRN, FAHA, FAAN, Jeffrey Bethel, PhD, and Javier Nieto, MD, PhD, MPH, MHS,. We also wish to acknowledge Alan Teo, MD, MS, who was involved in early discussions regarding mental health outcomes and COVID-19. This work was supported by funding from the US Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Service awards (COVID19–20–208; SDR17–155 and SDR18–321; PI: Hynes). Dr. Chen is currently funded by a VA Health Services Research & Development Career Development Award (CDA 18–185). Dr. Govier was funded by a VA Advanced Fellowship in Health Services Research & Development (TPH 98–000–02) through the VA Office of Academic Affiliations.

Funders	Funder number
CNRN
FACC
FACP
FAHA
FAMIA
U.S. Department of Veterans Affairs	IK6HX003395
Food Allergy and Anaphylaxis Network	COVID-19
Health Services Research and Development	SDR18–321, CDA 18–185, COVID19–20–208, SDR17–155, TPH 98–000–02
Office of Academic Affiliations, Department of Veterans Affairs

Keywords

Covid-19
Intensive care
Mental health
Military veterans

ASJC Scopus subject areas

Psychiatry and Mental health
Biological Psychiatry

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10.1016/j.psychres.2022.114570

Cite this

Chen, J. I., Hickok, A., O'Neill, A. C., Niederhausen, M., Laliberte, A. Z., Govier, D. J., Edwards, S. T., Gordon, H. S., Slatore, C. G., Weaver, F. M., Young, R., & Hynes, D. M. (2022). Psychiatric disorders newly diagnosed among veterans subsequent to hospitalization for COVID-19. Psychiatry Research, 312, Article 114570. https://doi.org/10.1016/j.psychres.2022.114570

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title = "Psychiatric disorders newly diagnosed among veterans subsequent to hospitalization for COVID-19",

abstract = "Objective: The goal of our study was to evaluate the development of new mental health diagnoses up to 6-months following COVID-19 hospitalization for in a large, national sample. Method: Data were extracted for all Veterans hospitalized at Veterans Health Administration hospitals for COVID-19 from March through August of 2020 utilizing national administrative data. After identifying the cohort, follow-up data were linked through six months post-hospitalization. Data were analyzed using logistic regression. Results: Eight percent of patients developed a new mental health diagnosis following hospitalization. The most common new mental health diagnoses involved depressive, anxiety, and adjustment disorders. Younger and rural patients were more likely to develop new mental health diagnoses. Women and those with more comorbidities were less likely to develop new diagnoses. Conclusion: A subpopulation of patients hospitalized for COVID-19 developed new mental health diagnoses. Unique demographics predictors indicate the potential need for additional outreach and screening to groups at elevated risk of post-hospitalization, mental health sequelae.",

keywords = "Covid-19, Intensive care, Mental health, Military veterans",

author = "Chen, \{Jason I.\} and Alex Hickok and O'Neill, \{Allison C.\} and Meike Niederhausen and Laliberte, \{Avery Z.\} and Govier, \{Diana J.\} and Edwards, \{Samuel T.\} and Gordon, \{Howard S.\} and Slatore, \{Christopher G.\} and Weaver, \{Francis M.\} and Rebecca Young and Hynes, \{Denise M.\}",

note = "Publisher Copyright: {\textcopyright} 2022",

year = "2022",

month = jun,

day = "1",

doi = "10.1016/j.psychres.2022.114570",

language = "English (US)",

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journal = "Psychiatry Research",

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AU - Chen, Jason I.

AU - Hickok, Alex

AU - O'Neill, Allison C.

AU - Niederhausen, Meike

AU - Laliberte, Avery Z.

AU - Govier, Diana J.

AU - Edwards, Samuel T.

AU - Gordon, Howard S.

AU - Slatore, Christopher G.

AU - Weaver, Francis M.

AU - Young, Rebecca

AU - Hynes, Denise M.

PY - 2022/6/1

Y1 - 2022/6/1

N2 - Objective: The goal of our study was to evaluate the development of new mental health diagnoses up to 6-months following COVID-19 hospitalization for in a large, national sample. Method: Data were extracted for all Veterans hospitalized at Veterans Health Administration hospitals for COVID-19 from March through August of 2020 utilizing national administrative data. After identifying the cohort, follow-up data were linked through six months post-hospitalization. Data were analyzed using logistic regression. Results: Eight percent of patients developed a new mental health diagnosis following hospitalization. The most common new mental health diagnoses involved depressive, anxiety, and adjustment disorders. Younger and rural patients were more likely to develop new mental health diagnoses. Women and those with more comorbidities were less likely to develop new diagnoses. Conclusion: A subpopulation of patients hospitalized for COVID-19 developed new mental health diagnoses. Unique demographics predictors indicate the potential need for additional outreach and screening to groups at elevated risk of post-hospitalization, mental health sequelae.

AB - Objective: The goal of our study was to evaluate the development of new mental health diagnoses up to 6-months following COVID-19 hospitalization for in a large, national sample. Method: Data were extracted for all Veterans hospitalized at Veterans Health Administration hospitals for COVID-19 from March through August of 2020 utilizing national administrative data. After identifying the cohort, follow-up data were linked through six months post-hospitalization. Data were analyzed using logistic regression. Results: Eight percent of patients developed a new mental health diagnosis following hospitalization. The most common new mental health diagnoses involved depressive, anxiety, and adjustment disorders. Younger and rural patients were more likely to develop new mental health diagnoses. Women and those with more comorbidities were less likely to develop new diagnoses. Conclusion: A subpopulation of patients hospitalized for COVID-19 developed new mental health diagnoses. Unique demographics predictors indicate the potential need for additional outreach and screening to groups at elevated risk of post-hospitalization, mental health sequelae.

KW - Covid-19

KW - Intensive care

KW - Mental health

KW - Military veterans

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JO - Psychiatry Research

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ER -

Psychiatric disorders newly diagnosed among veterans subsequent to hospitalization for COVID-19

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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