en روانشناسی Psychology كاربردي Applicable <p dir="ltr" id="docs-internal-guid-4d384c77-7fff-571e-aed4-09dffc232809" style="line-height: 1.38; margin-top: 0pt; margin-bottom: 10pt; text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><strong>Background and Objective</strong>: This study aimed to investigate the underlying causes of anxiety in patients with COVID-19 according to the &ldquo;anxiety management guideline in inpatients with COVID-19&rdquo; issued by the Ministry of Health and Medical Education of Iran.<br> <strong>Materials & Methods</strong>: Psychiatric counseling was requested for 109 adult COVID-19 patients with anxiety admitted to a hospital in Tehran City, Iran.<br> <strong>Results</strong>: About 59.6% of patients were female, and their mean age was 55.9 years. In 55 patients, anxiety was due to the symptoms and complications of COVID-19. The relative frequency of the causes of anxiety were as follows: Delirium (11.9%), new respiratory distress (2.8%), oxygen saturation between 85 to 90(3.7%), severe and moderate pain (5.5%), fever and chills (13.7%), cough (0.9%), and nausea and vomiting (11.9%). Anxiety in four patients (3.7%) was caused by smoking and opium withdrawal syndrome. In 50 other patients, no medical cause was found, and oxygen-saturated biofeedback training was used to manage patients (n=22) in mild to moderate anxiety cases. In cases of severe anxiety, a short-acting benzodiazepine was used in patients without a history of psychiatry (n=18) and a combination of selective serotonin reuptake inhibitors and a benzodiazepine in patients (n=10) with a history of psychiatric disorders. The most common comorbidities were diabetes and major depressive disorder (18.3% and 4.58%, respectively).<br> <strong>Conclusion</strong>: Though in the majority of cases, anxiety was caused by the direct effects or complications of COVID-19, appropriate intervention to manage the underlying factors can reduce the need for psychiatric medications.&nbsp;</span></span></span></p> COVID-19, Anxiety, Hospitalization, Underlying physical causes 183 186 http://cpr.mazums.ac.ir/browse.php?a_code=A-10-201-1&slc_lang=en&sid=1 Seyedshahab Banihashem shb_banihashem@yahoo.com 10031947532846002320 10031947532846002320 No Department of Psychosomatic Medicine, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Somayeh Motazedian somayehmotazedian@yahoo.com 10031947532846002321 10031947532846002321 No Department of Psychosomatic Medicine, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. MohammadTaghi Yasamy yasamy@gmail.com 10031947532846002322 10031947532846002322 No Research Development Committee, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Alireza Shamsi ar.shamsi@sbmu.ac.ir 10031947532846002323 10031947532846002323 No School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Ali Kheradmand dr.alikheradmand@yahoo.com 10031947532846002324 10031947532846002324 No Research Development Committee, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Ali Pirsalehi Pirsalehi@sbmu.ac.ir 10031947532846002325 10031947532846002325 No Department of Internal Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mehrshad PoursaeidEsfahani m.poursaeid@sbmu.ac.ir 10031947532846002326 10031947532846002326 No Department of Sports and Exercise Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohammadreza Moshari rmoshari@sbmu.ac.ir 10031947532846002327 10031947532846002327 No Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Maryam Shamekhi dr.shamekhi@gmail.com 10031947532846002328 10031947532846002328 No Department of Psychosomatic Medicine, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Nastaran Samani nastaransamani1990@yahoo.com 10031947532846002329 10031947532846002329 No Department of Psychiatry, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Arash Danesh arashdanesh1982@yahoo.com 10031947532846002330 10031947532846002330 Yes Department of Psychosomatic Medicine, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.