- Patients who didn't survive tend to a higher score on the Hospital Anxiety and Depression Scale (HADS)
- May be possible to use cortisol serum levels and HADS scores interchangeably, as there were not differences detected between the two factors in the ANOVA

Smith College

Increased stress and anxiety either from the diagnosis of Covid-19 or the isolation  during treatment can have direct effects on cortisol levels and affect the immune system as such

Increased Mortality in Covid-19 outcomes from psychlogical effects

Ramezani, M., Simani, L., Karimialavijeh, E., Rezaei, O., Hajiesmaeili, H., & Pakdaman, H. (2020). The Role of
Anxiety and Cortisol in Outcomes of Patients With Covid-19. Basic and Clinical Neuroscience, 11(2.Covid19), 179-184. http://
dx.doi.org/10.32598/bcn.11.covid19.1168.2

The Role of Anxiety and Cortisol in Outcomes of Patients With Covid-19

Findings from "The Role of Anxiety and Cortisol in Outcomes of Patients With Covid-19" regarding psychology 

Levels of stress may increase in those diagnosed with COVID-19, resulting in an alteration in stress hormone levels and the body's ability to cope with the stress.

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