Protective Factors of PTSD in COVID-19 Hospitalized Patients: Coping, Spiritual Well-Being & Resilience

COVID-19 Pandemic can have adverse psychological effects, including PTSD, on hospitalized patients due to coronavirus disease. This study aimed to investigate the protective factors of anxiety and depression, such as coping, spiritual well-being, and psychological resilience. The present study is a descriptive and cross-sectional study that uses convenience sampling methods. The participants of this study were 100 people from Tehran who were diagnosed with coronavirus by PCR test and were hospitalized. We used The primary care PTSD-5, Coping Scale, Spiritual Well-Being Scale, and Brief Resilience Scale to evaluate the protective factors.

The results showed that there is a significant correlation between resilience with PTSD (r = - 0.228, p-value <0.05), spiritual health with PTSD (r = - 0.230, p-value <0.05), and Coping with PTSD (r = 0.254, p -value <0.05). Variance analysis shows that F (3) = 7.046, P = 0.001 model is generally significant. Linear regression analysis showed resilience (B = 0.022, standardized β = -0.213, P < 0.05), coping (B = 0.010, standardized β = 0.308, P < 0.001) were associated with PTSD scores. However, spiritual well-being (B = 0.017, standardized β = -0.233, P = -0.077), was not associated with PTSD scores. Our results underscore how resilience, coping, and spiritual well-being could prevent COVID-19 patients from developing PTSD.