General Anxiety Disorder-Related Coronavirus Disease-19 Outbreak in Indonesia: A Case Report

Authors

  • Patricia Wulandari Cattleya Mental Health Center, Palembang, Indonesia
  • Rachmat Hidayat Department of Biology, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.4762

Keywords:

general anxiety disorder, covid-19 outbreak, indonesia

Abstract

BACKGROUND: The outbreak of coronavirus disease-19 (COVID-19) which is now a pandemic has become a problem that occurs in every area of life. Coronaphobia, a new term in the psychiatry literature referring to excessive fear of being infected by SARS-COV2 or COVID 19. Infected by influenza, having close relatives or friends with this fatal virus, and strong fear of infection have been reported as important predictors of stress posttrauma. We report a case report-related COVID-19 in Indonesia.

CASE PRESENTATION: A 23-year-old female, dentistry student living in a boarding house in East Java, Indonesia, along with her friend and coming from a middle-up income family background, came to psychiatric consultation with complaints of difficulty of breathing for 1 month ago. This anxiety began to get heavy, especially since the severe acute respiratory syndrome coronavirus 2 (COVID 19) outbreak appeared in Indonesia. In addition, she also recently experienced a failure in her final examination so that her study period as a dentistry student must be extended. Exploration of history revealed that the patient initially experience a feeling of heaviness in the chest, difficulty breathing, palpitation, and sometimes feeling sad due to her failure before. She was then given pharmacological interventions in the form of fluoxetine and clobazam and psychotherapy and progressive muscular relaxation through online.

CONCLUSION: General anxiety disorder, especially due to the COVID-19 outbreak, should be managed appropriately and comprehensively. The pandemic situation and widespread spread of the disease cause psychotherapy to be modified in such a way that assistance can be carried out online.

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References

Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470- 3. https://doi.org/10.1016/s0140-6736(20)30185-9. PMid:31986257

Zarghami M. Psychiatric aspects of coronavirus (2019-nCoV) infection. Iran J Psychiatry Behav Sci. 2020;14(1):e102957. https://doi.org/10.5812/ijpbs.102957

Yoo JH. The fight against the 2019-nCoV outbreak: An arduous march has just begun. J Korean Med Sci. 2020;35(4):e56. https://doi.org/10.3346/jkms.2020.35.e56 PMid:31997618

Stroebe M, Schut H, Boerner K. Cautioning health-care professionals. Omega (Westport). 2017;74(4):455-73. https:// doi.org/10.1177/0030222817691870 PMid:28355991

Doka KJ. Grief is a Journey: Finding Your Path Through Loss. New York: Atria Books; 2016. p. 108-16.

Angus Reid Institute. Half of Canadians Taking Extra Precautions as Coronavirus Continues to Spread Around the Globe. Available from: http://www.angusreid.org/Wp-content/ uploads/2020/02/2020.02.04_Coronavirus.pdf. [Last accessed on 2020 Feb 06].

Asmundson GJ, Taylor S. Coronaphobia: Fear and the 2019- nCoV outbreak. J Anxiety Disord. 2020;70:102196. https://doi. org/10.1016/j.janxdis.2020.102196 PMid:32078967

Fisher D, Heymann D. Q&A: The novel coronavirus outbreak causing COVID-19. BMC Med. 2020;18(1):57. https://doi. org/10.1186/s12916-020-01533-w PMid:32106852

Wu JT, Leung K, Leung GM. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: A modelling study. Lancet. 2020;395(10225):689-97. https://doi.org/10.1016/ s0140-6736(20)30260-9

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: A web-based cross-sectional survey. Med Rxiv Preprint. 2020;23(2):15-9. https://doi.org/10.21203/rs.3.rs-17172/v1

Sun L, Sun Z, Wu L, Zhu Z, Zhang F, Shang Z, et al. Prevalence and risk factors of acute posttraumatic stress symptoms during the COVID-19 outbreak in Wuhan, China. Med Rxiv Preprint. 2020; 23(2):11-5. https://doi.org/10.1101/2020.03.06.20032425

Zhang W, Zhao X, Wu W, Zhang J. Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: A model of West China Hospital. Precis Clin Med. 2020;24(2):10-5. https://doi.org/10.1093/ pcmedi/pbaa006

Hilty DM, Ferrer DC, Parish MB, Johnston B, Callahan EJ, Yellowlees PM. The effectiveness of telemental health: A 2013 review. Telemed J E Health. 2013;19(6):444-54. https://doi. org/10.1037/e574782013-009 PMid:23697504

Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300-2. https://doi.org/10.1016/s2215-0366(20)30073-0 PMid:32085840

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Published

2020-06-10

How to Cite

1.
Wulandari P, Hidayat R. General Anxiety Disorder-Related Coronavirus Disease-19 Outbreak in Indonesia: A Case Report. Open Access Maced J Med Sci [Internet]. 2020 Jun. 10 [cited 2024 Nov. 4];8(T1):36-8. Available from: https://oamjms.eu/index.php/mjms/article/view/4762