School of Journalism, Renmin University of China, China.
Department of Psychology, Florida State University, FL, USA; School of Psychology, University of Queensland, Brisbane, Australia.
J Psychiatr Res. 2021 May;137:542-553. doi: 10.1016/j.jpsychires.2020.10.015. Epub 2020 Oct 21.
The current COVID pandemic is happening while the long-term effects of coronavirus infection remain poorly understood. The present article meta-analyzed mental health outcomes (anxiety, depression, etc.) from a previous coronavirus outbreak in China (2002).
CNKI, Wanfang, PubMed/Medline, Scopus, Web of Science, Baidu Scholar, and Google Scholar were searched up to early June 2020 for articles in English or Chinese reporting mental illness symptoms of SARS patients. Main outcome measures include SCL-90, SAS, SDS, and IES-R scales. 29 papers met the inclusion criteria. The longest follow-up time included in the analysis was 46 months.
The systematic meta-analysis indicated that mental health problems were most serious before or at hospital discharge and declined significantly during the first 12 months after hospital discharge. Nevertheless, average symptom levels remained above healthy norms even at 12 months and continued to improve, albeit slowly, thereafter.
The adverse mental health impact of being hospitalized with coronavirus infection long outlasts the physical illness. Mental health issues were the most serious for coronavirus infected patients before (including) hospital discharge and improved continuously during the first 12 months after hospital discharge. If COVID-19 infected patients follow a similar course of mental health development, most patients should recover to normal after 12 months of hospital discharge.
当前的 COVID 大流行正在发生，而冠状病毒感染的长期影响仍知之甚少。本文对中国（2002 年）之前的冠状病毒爆发的心理健康结果（焦虑、抑郁等）进行了荟萃分析。
截至 2020 年 6 月初，通过 CNKI、万方、PubMed/Medline、Scopus、Web of Science、百度学术和 Google Scholar 检索了以英文或中文报告 SARS 患者精神疾病症状的文章。主要结局指标包括 SCL-90、SAS、SDS 和 IES-R 量表。符合纳入标准的 29 篇论文。分析中包含的最长随访时间为 46 个月。
系统的荟萃分析表明，心理健康问题在住院前或住院期间最严重，并在出院后 12 个月内显著下降。然而，即使在 12 个月时，平均症状水平仍高于健康标准，并在此后继续缓慢改善。
因冠状病毒感染住院对心理健康的不良影响远远超过身体疾病。冠状病毒感染患者的心理健康问题在（包括）住院前最为严重，并在出院后 12 个月内持续改善。如果 COVID-19 感染患者遵循类似的心理健康发展过程，大多数患者在出院后 12 个月内应该会恢复正常。
