De Pasquale Concetta, Pistorio Maria Luisa, Veroux Pierfrancesco, Gioco Rossella, Giaquinta Alessia, Privitera Francesca, Veroux Massimiliano
Vascular Surgery and Organ Transplant Unit, Department of Educational Science, University of Catania, Catania, Italy.
Vascular Surgery and Organ Transplant Unit, Department of General Surgery and Medical-Surgical Specialties, University Hospital of Catania, Catania, Italy.
Front Psychiatry. 2021 Jun 9;12:645549. doi: 10.3389/fpsyt.2021.645549. eCollection 2021.
The COVID-19 pandemic has led to an increase in mental distress such as phobic anxieties, depressive reactions, hypochondriac concerns, and insomnia. Among the causes are risk of infection and prolonged isolation. This study aimed to analyze psychopathological variables and dysfunctional lifestyles related to adequate therapeutic compliance in kidney transplant recipients. Eighty-nine kidney transplant recipients were evaluated using an online protocol including a questionnaire concerning habits, lifestyle and psychophysical well-being in the COVID-19 period, the Middlesex Hospital Questionnaire (MHQ) and the SF-36 Health Survey to evaluate the perception of their physical and emotional health. Of these recipients, 28.6% reported changes in their emotional state. Sleep quality deteriorated for 16.1%. Anxiety (M = 5.57, = 0.33; < 0.05) and phobia (M = 6.28, = 0.26; < 0.05) correlated with concerns related to physical health. There was no negative impact on relational and socialization aspects, which were likely well compensated by the use of remote technologies such as video phone calls, Zoom meetings and use of computers ( = 0.99; = 0.80; < 0.05). It would be interesting to maintain this remote visit and interview mode to monitor, on a clinical and psychological level, kidney transplant recipients in subsequent follow-ups (12-18 months), to check for any psychopathological disorders and/or changes in their resilience capacity in the Coronavirus emergency.
新冠疫情导致了恐惧焦虑、抑郁反应、疑病担忧和失眠等精神困扰的增加。其原因包括感染风险和长期隔离。本研究旨在分析与肾移植受者充分治疗依从性相关的心理病理变量和功能失调的生活方式。使用在线方案对89名肾移植受者进行了评估，该方案包括一份关于新冠疫情期间习惯、生活方式和身心健康的问卷、米德尔塞克斯医院问卷（MHQ）以及SF-36健康调查，以评估他们对自身身体和情绪健康的认知。在这些受者中，28.6%报告了情绪状态的变化。16.1%的人睡眠质量下降。焦虑（M = 5.57，标准差 = 0.33；p < 0.05）和恐惧症（M = 6.28，标准差 = 0.26；p < 0.05）与对身体健康的担忧相关。对人际关系和社交方面没有负面影响，视频电话、Zoom会议和电脑使用等远程技术的应用可能对此起到了很好的补偿作用（相关系数 = 0.99；p = 0.80；p < 0.05）。在后续随访（12 - 18个月）中，维持这种远程就诊和访谈模式，从临床和心理层面监测肾移植受者，检查是否存在任何心理病理障碍和/或他们在新冠疫情紧急情况下恢复力的变化，将会很有意义。
