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疫情期间康复的新冠患者心理健康问题的患病率及其相关因素:一项单中心研究

Prevalence of Mental Health Problems and Its Associated Factors Among Recovered COVID-19 Patients During the Pandemic: A Single-Center Study.

作者信息

Khademi Mojgan, Vaziri-Harami Roya, Shams Jamal

机构信息

Department of Psychiatry, School of Medicine, Imam Hossein Hospital Clinical Research Development Unit, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Behavioral Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Front Psychiatry. 2021 Mar 31;12:602244. doi: 10.3389/fpsyt.2021.602244. eCollection 2021.

Abstract

The coronavirus disease 2019 (COVID-19), is profoundly affecting the mental health status. Although the burden of mental health problems has been reported in the general population and health care workers, little is known about the prevalence of mental health disorders among recovered COVID-19 patients and their associated factors. A cross-sectional telephonic-study of recovered COVID-19 patients with and without a history of hospitalization was conducted from April 20 to June 20, 2020, in Tehran, Iran. We assessed the anxiety symptoms, depression, and post-traumatic stress disorder (PTSD) among participants, using the Patient Health Questionnaire (PHQ-4) and PTSD checklist for DSM-5 (PCL-5). Logistic regression analyses were used to explore the risk factors associated with mental health problems. A total of 602 individuals with a mean age of 53.2 years (SD: 14.7), completed the study. The rates of mental health symptoms among the respondents were 5.8% (95% CI: 4.2-7.8%) for anxiety, 5.0% (95% CI: 3.5-7.0%) for depression, and 3.8% (95% CI: 2.3-5.3%) for PTSD disorders. Moreover, being younger than 50 years and female gender was significantly associated with a higher probability of reporting anxiety ( < 0.01), and depression ( < 0.001 for being younger than 50 years, < 0.02 for female gender). The current study indicated that patients with COVID-19 presented features of anxiety, depression, and PTSD. These results may help implement appropriate mental health intervention policies for those at risk and minimize the mental health consequences of the COVID-19.

摘要

2019冠状病毒病(COVID-19)正在深刻影响心理健康状况。尽管普通人群和医护人员中都报告了心理健康问题的负担,但对于康复的COVID-19患者中精神障碍的患病率及其相关因素却知之甚少。2020年4月20日至6月20日,在伊朗德黑兰对有或没有住院史的康复COVID-19患者进行了一项横断面电话研究。我们使用患者健康问卷(PHQ-4)和DSM-5创伤后应激障碍检查表(PCL-5)评估了参与者的焦虑症状、抑郁和创伤后应激障碍(PTSD)。采用逻辑回归分析来探讨与心理健康问题相关的危险因素。共有602名平均年龄为53.2岁(标准差:14.7)的个体完成了研究。受访者中焦虑的心理健康症状发生率为5.8%(95%置信区间:4.2-7.8%),抑郁为5.0%(95%置信区间:3.5-7.0%),PTSD障碍为3.8%(95%置信区间:2.3-5.3%)。此外,年龄小于50岁和女性与报告焦虑(<0.01)和抑郁(年龄小于50岁时<0.001,女性时<0.02)的较高概率显著相关。当前研究表明,COVID-19患者存在焦虑、抑郁和PTSD特征。这些结果可能有助于为有风险的人群实施适当的心理健康干预政策,并将COVID-19对心理健康的影响降至最低。

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