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西尼罗河病毒感染后长达 8 年的长期抑郁发现。

Findings of long-term depression up to 8 years post infection from West Nile virus.

机构信息

The University of Texas Health Science Center, USA.

出版信息

J Clin Psychol. 2012 Jul;68(7):801-8. doi: 10.1002/jclp.21871. Epub 2012 May 23.

DOI:10.1002/jclp.21871
PMID:23929558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6211791/
Abstract

OBJECTIVE

To examine the psychological sequelae following West Nile virus (WNV) infection among a large cohort of participants over an 8-year period.

DESIGN

We conducted a longitudinal study to assess mental health outcomes among a cohort of 171 WNV-positive participants in Houston, Texas.

RESULTS

We found 35% of participants met the Center for Epidemiologic Studies Depression scale definition for new onset clinical depression. Multivariate analysis found that severe depression was significantly associated with gender and physical disability (Barthel index score <100) at 5 years post-WNV infection.

CONCLUSIONS

Practitioners should be aware of depression as a possible outcome in patients who were infected with WNV and include this as a part of their routine assessment.

摘要

目的

在长达 8 年的时间里,通过对一个大样本队列进行研究,探究西尼罗河病毒(WNV)感染后的心理后遗症。

设计

我们开展了一项纵向研究,旨在评估德克萨斯州休斯顿市 171 名 WNV 阳性参与者的心理健康结果。

结果

我们发现,35%的参与者符合流行病学研究中心抑郁量表对新发临床抑郁症的定义。多变量分析发现,5 年后,严重抑郁与性别和身体残疾(巴氏指数评分<100)显著相关。

结论

临床医生应注意到,WNV 感染患者可能会出现抑郁,并将其作为常规评估的一部分。

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本文引用的文献

1
An investigation of depression and fatigue post West Nile virus infection.西尼罗河病毒感染后抑郁和疲劳情况的调查
S D Med. 2010 Apr;63(4):127-9, 131-3.
2
Prognosis after West Nile virus infection.西尼罗河病毒感染后的预后。
Ann Intern Med. 2008 Aug 19;149(4):232-41. doi: 10.7326/0003-4819-149-4-200808190-00004.
3
Effects of West nile virus may persist.
JAMA. 2008 May 14;299(18):2135-6. doi: 10.1001/jama.299.18.2135.
4
Disability in major depression related to self-rated and objectively-measured cognitive deficits: a preliminary study.重度抑郁症中的残疾与自评及客观测量的认知缺陷相关:一项初步研究。
BMC Psychiatry. 2007 Jul 17;7:32. doi: 10.1186/1471-244X-7-32.
5
Depression after infection with West Nile virus.西尼罗河病毒感染后的抑郁症。
Emerg Infect Dis. 2007 Mar;13(3):479-81. doi: 10.3201/eid1303.060602.
6
Immunopathology of flavivirus infections.黄病毒感染的免疫病理学
Immunol Cell Biol. 2007 Jan;85(1):33-42. doi: 10.1038/sj.icb.7100012. Epub 2006 Dec 5.
7
Mental status after West Nile virus infection.西尼罗河病毒感染后的精神状态。
Emerg Infect Dis. 2006 Aug;12(8):1260-2. doi: 10.3201/eid1708.060097.
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Clin Infect Dis. 2006 Sep 15;43(6):723-30. doi: 10.1086/506939. Epub 2006 Aug 10.
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Assessing capacity for surveillance, prevention, and control of West Nile virus infection--United States, 1999 and 2004.评估西尼罗河病毒感染的监测、预防和控制能力——美国,1999年和2004年
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Predictive value of the CES-D in detecting depression among candidates for disease-modifying multiple sclerosis treatment.CES-D在检测疾病修饰性多发性硬化症治疗候选者中的抑郁情况时的预测价值。
Psychosomatics. 2005 Mar-Apr;46(2):131-4. doi: 10.1176/appi.psy.46.2.131.