Tee Cherica A, Salido Evelyn O, Reyes Patrick Wincy C, Ho Roger C, Tee Michael L
Department of Pediatrics, College of Medicine, University of the Philippines, Manila, Philippines.
Department of Medicine, College of Medicine, University of the Philippines, Manila, Philippines.
Open Access Rheumatol. 2020 Sep 22;12:215-222. doi: 10.2147/OARRR.S269889. eCollection 2020.
Patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are perceived to be more vulnerable to worse COVID-19 infection outcome. Furthermore, severe shortage in hydroxychloroquine supply was experienced.
We presented the psychological responses of Filipino SLE and RA patients to the COVID-19 pandemic and shortage of hydroxychloroquine supply.
A total of 512 completed online surveys from SLE and RA patients were gathered from May 19 to 26, 2020. The online survey collected data on socio-demographics, health status, contact history, health service utilization, use of hydroxychloroquine, COVID-19 knowledge and concerns, precautionary measures, information needs, the validated Impact of Events Scale-Revised (IES-R) and Depression, Anxiety and Stress Scales (DASS-21) ratings.
The psychological impact of COVID-19 outbreak was at least moderate in 20%. The mean IES-R score was higher among SLE (22.34, SD=14.39) than RA (18.85, SD=13.24) patients. Stress, anxiety and depression were moderate to severe in 12.3%, 38.7%, and 27.7% of respondents. The mean stress subscale score was 10.11 (SD=7.95), mean anxiety subscale score was 6.79 (SD=6.57) and mean depression subscale score was 9.03 (SD=8.77). The risk factors for adverse mental health during the COVID-19 pandemic include the presence of comorbidity of hypertension and asthma; being a healthcare worker; and presence of specific symptoms of myalgia, cough, breathing difficulty, dizziness and sore throat. The protective factors for mental health during the pandemic include satisfaction with available health information and wearing of face masks.
In the third month of the pandemic in the Philippines, 20% of the respondents with lupus and RA experienced moderate to severe psychological impact. There was moderate to severe anxiety in 38.7% and moderate to severe depression in 27%. Identification of factors that affect mental health in lupus and RA is useful in implementation of effective psychological support strategies.
系统性红斑狼疮（SLE）和类风湿关节炎（RA）患者被认为更容易出现新冠病毒感染的不良后果。此外，羟氯喹供应严重短缺。
我们呈现了菲律宾SLE和RA患者对新冠疫情及羟氯喹供应短缺的心理反应。
2020年5月19日至26日，共收集了512份来自SLE和RA患者的完整在线调查问卷。在线调查收集了社会人口统计学、健康状况、接触史、医疗服务利用情况、羟氯喹使用情况、新冠病毒知识及担忧、预防措施、信息需求、经过验证的事件影响量表修订版（IES-R）以及抑郁、焦虑和压力量表（DASS-21）评分等数据。
20%的受访者受新冠疫情的心理影响至少为中度。SLE患者（22.34，标准差 = 14.39）的IES-R平均得分高于RA患者（18.85，标准差 = 13.24）。12.3%、38.7%和27.7%的受访者存在中度至重度的压力、焦虑和抑郁。压力子量表平均得分为10.11（标准差 = 7.95），焦虑子量表平均得分为6.79（标准差 = 6.57），抑郁子量表平均得分为9.03（标准差 = 8.77）。新冠疫情期间不良心理健康的风险因素包括患有高血压和哮喘合并症、身为医护人员以及出现肌痛、咳嗽、呼吸困难、头晕和喉咙痛等特定症状。疫情期间心理健康的保护因素包括对现有健康信息的满意度以及佩戴口罩。
在菲律宾疫情的第三个月，20%的狼疮和类风湿关节炎受访者经历了中度至重度的心理影响。38.7%的受访者存在中度至重度焦虑，27%的受访者存在中度至重度抑郁。识别影响狼疮和类风湿关节炎患者心理健康的因素有助于实施有效的心理支持策略。
