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新型冠状病毒肺炎无症状或轻症患者的临床特征及线上心理健康照护。

Clinical characteristics and online mental health care of asymptomatic or mildly symptomatic patients with coronavirus disease 2019.

机构信息

Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

Yonsei University Graduate School, Seoul, South Korea.

出版信息

PLoS One. 2020 Nov 23;15(11):e0242130. doi: 10.1371/journal.pone.0242130. eCollection 2020.

Abstract

Comparing to data in patients with severe coronavirus diseases 2019 (COVID-19), there are few studies on the prevalence anxiety and/or depression in patients with asymptomatic or mildly symptomatic COVID-19. We investigated the clinical characteristics and the prevalence of anxiety and/or depression among asymptomatic or mildly symptomatic patients with COVID-19 and monitored their mental health using an online assessment. An online survey for monitoring and assessing the mental health of patients with COVID-19 using a mobile phone was conducted. We used the Hospital Anxiety and Depression Scale to measure anxiety and/or depression levels. Of the 234 patients, 66 patients were asymptomatic (28.2%), while the remaining 168 patients were mildly symptomatic. The prevalence of anosmia (p = 0.001) and ageusia (p = 0.008) significantly decreased with the increasing age. In addition, 19.8% and 14.0% patients had anxiety and/or depression in the first survey, and one week after the first survey, respectively. Compared to patients without anxiety and/or depression, those with anxiety and/or depression had a longer quarantine duration. We found that anomia and ageusia were relatively common in the young age group. Furthermore, one-fifth asymptomatic or mildly symptomatic patients with COVID-19 had anxiety and/or depression.

摘要

与严重 2019 冠状病毒病(COVID-19)患者的数据相比,针对无症状或轻度症状 COVID-19 患者中焦虑和/或抑郁发生率的研究较少。我们调查了无症状或轻度症状 COVID-19 患者的临床特征以及焦虑和/或抑郁的发生率,并使用在线评估监测他们的心理健康状况。我们使用医院焦虑和抑郁量表(Hospital Anxiety and Depression Scale)来衡量焦虑和/或抑郁水平。在 234 名患者中,66 名患者无症状(28.2%),其余 168 名患者轻度症状。嗅觉丧失(p = 0.001)和味觉丧失(p = 0.008)的发生率随年龄增长而显著降低。此外,在第一次调查中,19.8%和 14.0%的患者分别有焦虑和/或抑郁,而在第一次调查一周后,这一比例分别为 19.8%和 14.0%。与没有焦虑和/或抑郁的患者相比,有焦虑和/或抑郁的患者隔离时间更长。我们发现发音困难和味觉丧失在年轻人群中较为常见。此外,五分之一的无症状或轻度症状 COVID-19 患者有焦虑和/或抑郁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ea/7682865/96dc4a7915a0/pone.0242130.g001.jpg

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