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评价住院 COVID-19 患者感知的社会支持、应对策略、焦虑和抑郁症状之间的关系。

Evaluation of the relationship between perceived social support, coping strategies, anxiety, and depression symptoms among hospitalized COVID-19 patients.

机构信息

Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Turkey.

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Selçuk University, Konya, Turkey.

出版信息

Int J Psychiatry Med. 2021 Jul;56(4):240-254. doi: 10.1177/0091217420982085. Epub 2020 Dec 24.

Abstract

OBJECTIVE

We aimed to evaluate the relationship between perceived social support, coping strategies, anxiety, and depression symptoms among hospitalized COVID-19 patients by comparing them with a matched control group in terms of age, gender, and education level.

METHOD

The patient group (n = 84) and the healthy controls (HCs, n = 92) filled in the questionnaire including the socio-demographic form, Hospital Anxiety Depression Scale, Multidimensional Perceived Social Support Scale, and Brief Coping Orientation to Problems Experienced through the online survey link.

RESULTS

The COVID-19 patients had higher perceived social support and coping strategies scores than the HCs. However, anxiety and depression scores did not differ significantly between the two groups. In logistic regression analysis performed in COVID-19 patients, the presence of chest CT finding (OR = 4.31; 95% CI = 1.04-17.95) was a risk factor for anxiety and the use of adaptive coping strategies (OR = 0.86; 95% CI = 0.73-0.99) had a negative association with anxiety. In addition, the use of adaptive coping strategies (OR = 0.89; 95% CI = 0.79-0.98) and high perceived social support (OR = 0.97; 95% CI = 0.93- 0,99) had a negative association with depression symptoms.

CONCLUSIONS

Longitudinal studies involving the return to normality phase of the COVID-19 pandemic are needed to investigate the effects of factors such as coping strategies and perceived social support that could increase the psychological adjustment and resilience of individuals on anxiety and depression.

摘要

目的

通过比较年龄、性别和教育水平相匹配的住院 COVID-19 患者和健康对照组,评估感知社会支持、应对策略、焦虑和抑郁症状之间的关系。

方法

患者组(n=84)和健康对照组(HCs,n=92)通过在线调查链接填写了包括社会人口统计学表格、医院焦虑抑郁量表、多维感知社会支持量表和简要应对问题体验取向的问卷。

结果

COVID-19 患者的感知社会支持和应对策略评分高于 HCs。然而,两组之间的焦虑和抑郁评分没有显著差异。在 COVID-19 患者中进行的逻辑回归分析中,胸部 CT 发现(OR=4.31;95%CI=1.04-17.95)是焦虑的危险因素,而适应性应对策略的使用(OR=0.86;95%CI=0.73-0.99)与焦虑呈负相关。此外,适应性应对策略的使用(OR=0.89;95%CI=0.79-0.98)和高感知社会支持(OR=0.97;95%CI=0.93-0.99)与抑郁症状呈负相关。

结论

需要进行涉及 COVID-19 大流行正常化阶段的纵向研究,以研究应对策略和感知社会支持等因素的影响,这些因素可以提高个体的心理调整和适应能力,从而减轻焦虑和抑郁。

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