Janiri Delfina, Kotzalidis Georgios D, Giuseppin Giulia, Molinaro Marzia, Modica Marco, Montanari Silvia, Terenzi Beatrice, Carfì Angelo, Landi Francesco, Sani Gabriele
Department of Psychiatry and Neurology, Sapienza University of Rome, Rome, Italy.
Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Rome, Italy.
Front Psychiatry. 2020 Nov 12;11:590135. doi: 10.3389/fpsyt.2020.590135. eCollection 2020.
To study the long-term psychological effects of Covid-19 disease, we recruited 61 patients older than 60 years of age and administered the Kessler questionnaire K10 to assess psychological distress and classify them according to mental health risk groups. Patients' affective temperaments were assessed with the 39-item form of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego (TEMPS-A-39) and emotional dysregulation with the Difficulties in Emotion Regulation Scale (DERS). Patients were divided in two samples according to their scores on the K10, i.e., a high likelihood of psychological distress group ( = 18) and a low likelihood of psychological distress group ( = 43). The two groups differed on their gender composition, in that more women ( = 11) were in the former and more men in the latter ( = 29) (χ = 4.28; = 0.039). The high likelihood of psychological distress group scored higher on the Cyclothymic (3.39 ± 3.45 vs. 0.93 ± 1.08, < 0.001) and the Depressive (2.28 ± 2.82 vs. 0.65 ± 1.09, = 0.01) affective temperaments of the TEMPS and on the lack of Impulse control (12.67 ± 4.04 vs. 9.63 ± 3.14, = 0.003) and lack of Clarity (15.00 ± 5.56 vs. 9.85 ± 4.67, = 0.004) scales of the DERS. Our results show that having had Covid-19 may be related with high likelihood for psychological distress in advanced-age people and this may in turn be associated with impaired emotional regulation and higher scores on depressive and cyclothymic temperaments.
为研究新冠病毒疾病的长期心理影响，我们招募了61名60岁以上的患者，并使用凯斯勒问卷K10评估心理困扰情况，并根据心理健康风险组对他们进行分类。采用孟菲斯、比萨、巴黎和圣地亚哥气质评估量表（TEMPS-A-39）的39项版本评估患者的情感气质，并用情绪调节困难量表（DERS）评估情绪失调情况。根据患者在K10上的得分将其分为两个样本，即心理困扰高可能性组（n = 18）和心理困扰低可能性组（n = 43）。两组在性别构成上存在差异，前者女性更多（n = 11），后者男性更多（n = 29）（χ² = 4.28；p = 0.039）。心理困扰高可能性组在TEMPS的环性气质（3.39 ± 3.45 vs. 0.93 ± 1.08，p < 0.001）和抑郁气质（2.28 ± 2.82 vs. 0.65 ± 1.09，p = 0.01）方面得分更高，在DERS的冲动控制缺乏量表（12.67 ± 4.04 vs. 9.63 ± 3.14，p = 0.003）和清晰度缺乏量表（15.00 ± 5.56 vs. 9.85 ± 4.67，p = 0.004）上得分也更高。我们的研究结果表明，感染过新冠病毒可能与老年人心理困扰的高可能性有关，而这反过来可能与情绪调节受损以及抑郁和环性气质得分较高有关。
