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老年 COVID-19 幸存者和对照者的精神病理学。

Psychopathology in Elderly COVID-19 Survivors and Controls.

机构信息

Substance Abuse and Mental Health Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Geriatr Psychiatry Neurol. 2022 May;35(3):467-471. doi: 10.1177/08919887211002664. Epub 2021 Mar 22.

Abstract

BACKGROUND

The highly infectious and pathogenic coronavirus-19 (COVID-19) has emerged to cause a global pandemic. In this cross-sectional comparative study, our objective is to compare the depression and anxiety symptoms in elderly COVID-19 survivors with a control group.

METHOD

69 elderly COVID-19 survivors (age 65 or older) within 2 weeks post-discharge were assessed for anxiety and depression symptoms by a package of self-rating scales (Geriatric Anxiety Scale-10 (GAS-10), Geriatric Depression Scale-15 (GDS-15) and General Health Questionar-28 (GHQ-28)). Their scores were compared with a group of aged-matched residents without COVID-19 in their community.

RESULTS

The mean scores on GAS-10, GDS-15 and GHQ-28 in the COVID-19 survivors group and control group were 12.06 vs. 6.53 (p < .001), 12.48 vs. 5.73 (p < .001), 52.7 vs. 29.8 (p < .001), respectively. All of the COVID-19 survivors and 60% of the controls had scores in the pathological range of GHQ-28 scale. A total of 93.2% of COVID-19 survivors revealed anxiety symptoms in GAS-10 scale. This rate was 60% in the control group. A total of 86.6% of COVID-19 survivors compared to 46.6% of the controls reported symptoms of depression in GDS-15 scale.

CONCLUSION

The rate of depression and anxiety symptoms in elderly COVID-19 survivors and controls found to be high during the pandemic. However, COVID-19 survivors significantly suffered more.

摘要

背景

高度传染性和致病性的冠状病毒-19(COVID-19)的出现导致了全球大流行。在这项横断面对照研究中,我们的目的是比较老年 COVID-19 幸存者与对照组的抑郁和焦虑症状。

方法

在出院后 2 周内,对 69 名老年 COVID-19 幸存者(年龄 65 岁或以上)进行焦虑和抑郁症状评估,使用一套自评量表(老年焦虑量表-10(GAS-10)、老年抑郁量表-15(GDS-15)和一般健康问卷-28(GHQ-28))。将他们的评分与社区中没有 COVID-19 的年龄匹配的居民进行比较。

结果

COVID-19 幸存者组和对照组的 GAS-10、GDS-15 和 GHQ-28 平均评分分别为 12.06 分与 6.53 分(p<0.001)、12.48 分与 5.73 分(p<0.001)、52.7 分与 29.8 分(p<0.001)。COVID-19 幸存者和 60%的对照组的 GHQ-28 评分均处于病理性范围。GAS-10 量表显示,COVID-19 幸存者中有 93.2%出现焦虑症状,对照组中有 60%出现焦虑症状。与对照组的 46.6%相比,COVID-19 幸存者中有 86.6%报告 GDS-15 量表存在抑郁症状。

结论

在大流行期间,老年 COVID-19 幸存者和对照组的抑郁和焦虑症状发生率较高。然而,COVID-19 幸存者的症状更为严重。

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